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Conduction system pacing in a pediatric population: a case series
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  • Francis Jamil,
  • Ziad Bulbul,
  • Charafeddine Fatme,
  • Fadi Bitar,
  • Mouallem Abdo,
  • Fakhreddine Omar,
  • Jabali Amal,
  • Marwan Refaat,
  • Bernard Abi-Saleh
Francis Jamil
American University of Beirut Medical Center
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Ziad Bulbul
American University of Beirut Medical Center Department of Pediatrics and Adolescent Medicine
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Charafeddine Fatme
American University of Beirut Medical Center Department of Pediatrics and Adolescent Medicine
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Fadi Bitar
American University of Beirut Medical Center Department of Pediatrics and Adolescent Medicine
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Mouallem Abdo
Universite Saint-Joseph de Beyrouth
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Fakhreddine Omar
American University of Beirut Medical Center
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Jabali Amal
American University of Beirut Medical Center
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Marwan Refaat
American University of Beirut Medical Center
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Bernard Abi-Saleh
American University of Beirut Medical Center

Corresponding Author:ba47@aub.edu.lb

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Abstract

Background: Left bundle branch area pacing (LBBAP) offers physiological pacing with potential advantages over right ventricular (RV) pacing, particularly in children. However, data on LBBAP in pediatric populations are scarce. Objective: This study aimed to assess the feasibility and safety of LBBAP in children by reporting 6 cases done successfully. Methods: Six children (four males, two females), aged 2 to 16 years, underwent LBBAP between December 2022 and January 2024 at the American Univeristy of Beirut Medical Center (AUBMC). The implantation procedure followed established techniques. Baseline characteristics, echocardiographic measurements, and pacing parameters were recorded. Results: All six cases fulfilled the criteria for LBBAP. Successful LBBAP was achieved in all cases. Median weight is 20.5 kg, with three patients under 5 years old. Baseline left ventricular ejection fraction (LVEF) was normal in 4 cases, with two exhibiting 52%. The interventricular septal thickness averaged 4.5 mm. No major complications were encountered during follow-up. Conclusion: Left bundle branch area pacing might be a promising alternative to conventional RV pacing, offering potential advantages over traditional pacing methods. Further research is needed to fully elucidate its efficacy and long-term benefits in pediatric populations.
01 Aug 2024Submitted to Journal of Cardiovascular Electrophysiology
05 Aug 2024Review(s) Completed, Editorial Evaluation Pending
05 Aug 2024Submission Checks Completed
05 Aug 2024Assigned to Editor
06 Aug 2024Reviewer(s) Assigned
05 Sep 2024Editorial Decision: Revise Minor