Newer Technology in Permanent Pacemaker Implantation for Brady arrhythmias – Conduction System Pacing

About this Case

Traditional Pacemaker restores normal heartbeats in millions of people, but the widely using
the technique is placing the ventricular lead at the lower Right Ventricle which increases the risk of atrial
fibrillation, heart failure, and mortality.
A newer procedure called “HIS Bundle pacing” is an alternative approach to RV Pacing. This new
pacing technique i.e. HIS Bundle pacing engages the normal electrical conduction system of the
heart; thereby it prevents pacing-induced deterioration in cardiac function. HIS bundle is an
an attractive site for physiological pacing and actual lead placement can be technically challenging
due to its anatomic location and surrounding cardiac structures.