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Left Bundle Branch Area Pacing as an alternative to His Bundle pacing for Cardiac Resynchronization Therapy: a case report.
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  • Jean-Yves Wielandts,
  • Alexandre Almorad,
  • Gabriela Hilfiker,
  • Anais Gauthey,
  • Sebastien Knecht,
  • Mattias Duytschaever,
  • Yves Vandekerckhove,
  • Rene Tavernier,
  • Jean-Benoit le Polain de Waroux
Jean-Yves Wielandts
AZ Sint-Jan AV
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Alexandre Almorad
AZ Sint-Jan AV
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Gabriela Hilfiker
AZ Sint-Jan Brugge-Oostende AV
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Anais Gauthey
Cliniques universitaires Saint-Luc
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Sebastien Knecht
Sint-Jan Hospital
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Mattias Duytschaever
Sint-Jan Hospital
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Yves Vandekerckhove
General Hospital Saint-Jan
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Rene Tavernier
17) Az Sint-Jan Brugge,
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Jean-Benoit le Polain de Waroux
Clinique Universitaire Saint-Luc (UCL)
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Abstract

Biventricular pacing (BVP) has been demonstrated to improve functional outcomes and mortality of patients with symptomatic heart failure, reduced LVEF and wide QRS. Unfortunately, difficult coronary sinus anatomy can limit left ventricular lead placement. In such clinical situation, His Bundle Pacing (HBP) and Left Bundle Branch Area Pacing (LBBAP) have recently appeared as attractive alternatives to BVP. We describe the case of a patient with an indication for Cardiac Resynchronization Therapy (CRT) and AV node ablation, where left ventricular lead implantation and corrective HBP failed. LBBAP allowed for electrical and echocardiographic resynchronization with significant functional improvement.