Allied Professionals Community of Practice

  • 1.  LBBAP, AKA Conduction site pacing (CSP_

    Posted 05-13-2024 21:48

    Trying NOT to re-invent the wheel.

    My Physicians are implanting many LBBAP leads.

    I am curious if anyone would be willing to share a protocol that they have developed for follow up of these Conduction Site/LBBB pacing.

    I personally believe they need a post op 12 lead with LBBB pacing to look at the complexes and make sure that we are giving the patients the best that we can. Look for changes in 12 lead at follow up, perhaps they need annual 12 lead.

     Also, ? if the have a narrow QRS (pre-pacemaker) and were implanted for possibly SSS, do you actually need to pace or extend AVD not to pace.

    I have read articles from different manufacturers, however, Since this is a fairly new technology, any input, articles, protocols or suggestions are appreciated. The more knowledge that better.

    Sincere Thanks, 

    Nancy Lee, RN, FHRS, CCDS,

    Regional Device Director

    Prairie Cardiovascular Consultants.



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    Nancy Lee RN, FHRS, CCDS
    Arrhythmia Device Specialist
    Prairie Cardiovascular Consultants
    O'fallon IL
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  • 2.  RE: LBBAP, AKA Conduction site pacing (CSP_

    Posted 05-14-2024 07:22
    Hi Nancy -

    We do primarily conduction system pacing now, and our protocol does include a 12 lead immediately post procedure (reviewed prior to same day discharge) and then at the one month follow up visit. I’m excited to see many LBBP sessions at HRS this year and hope to learn more. If there is a narrow QRS, and EF is normal, we will minimize RV pacing, but the LB lead is there if RV pacing is needed in the future.

    I’m also at the hands on Abbott program Friday night at the Omni with examples and cases regarding LBBP.

    See you soon and safe travels everyone!

    Jill


    Original Message


  • 3.  RE: LBBAP, AKA Conduction site pacing (CSP_

    Posted 05-14-2024 10:00

    Thanks for your input Jill, I will follow up with our STJ rep about cases and examples, I am unable to go this year, safe travels to you also Nancy Lee, RN, FHRS, CCDS



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    Nancy Lee RN, FHRS, CCDS
    Arrhythmia Device Specialist
    Prairie Cardiovascular Consultants
    O'fallon IL
    ------------------------------

    Original Message


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