Feasibility and Safety of Left Bundle Branch Pacing in Nonagenarians: A Single Center Observational Study
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| Format: | Artículo Open Access |
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Wiley
2026
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| _version_ | 1867013425889017856 |
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| author | Hwan Juet Khaw Mohammad Paymard |
| author_facet | Hwan Juet Khaw Mohammad Paymard Hwan Juet Khaw Mohammad Paymard |
| collection | Wiley Open Access |
| contents | Feasibility and Safety of Left Bundle Branch Pacing in Nonagenarians: A Single Center Observational Study Hwan Juet Khaw Mohammad Paymard Pacing and Clinical Electrophysiology ABSTRACT Background Left bundle branch pacing (LBBP) is emerging as a physiological pacing strategy. However, data on its feasibility and safety in nonagenarians (≥90 years) with symptomatic bradycardia are limited. This study aims to evaluate the outcomes of LBBP in this frail, high‐risk population. Methods A retrospective analysis was conducted on 8 patients aged 90 and older who underwent LBBP between December 2023 and December 2024. Procedural outcomes, complications, and pacing parameters were assessed. Results LBBP was successfully performed in 8 patients (mean age 93 ± 2 years, mean Clinical Frailty Score 5). The pacing indications included atrioventricular block and sinus node dysfunction. The mean left ventricular activation time was 75 ± 8 ms. At a median follow‐up of 6 weeks, pacing parameters remained stable with no evidence of lead displacement, haematoma, or infection. There were no immediate procedural complications. Conclusions LBBP appears to be a feasible and safe physiological pacing strategy in nonagenarians with symptomatic bradycardia. Further studies are needed to confirm the long‐term outcomes of LBBP in elderly patients. 10.1111/pace.70189 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| doi_str_mv | 10.1111/pace.70189 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_pace_70189 |
| institution | Wiley Open Access |
| license_str_mv | http://onlinelibrary.wiley.com/termsAndConditions#vor |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Feasibility and Safety of Left Bundle Branch Pacing in Nonagenarians: A Single Center Observational Study Hwan Juet Khaw Mohammad Paymard Pacing and Clinical Electrophysiology Feasibility and Safety of Left Bundle Branch Pacing in Nonagenarians: A Single Center Observational Study Hwan Juet Khaw Mohammad Paymard Pacing and Clinical Electrophysiology ABSTRACT Background Left bundle branch pacing (LBBP) is emerging as a physiological pacing strategy. However, data on its feasibility and safety in nonagenarians (≥90 years) with symptomatic bradycardia are limited. This study aims to evaluate the outcomes of LBBP in this frail, high‐risk population. Methods A retrospective analysis was conducted on 8 patients aged 90 and older who underwent LBBP between December 2023 and December 2024. Procedural outcomes, complications, and pacing parameters were assessed. Results LBBP was successfully performed in 8 patients (mean age 93 ± 2 years, mean Clinical Frailty Score 5). The pacing indications included atrioventricular block and sinus node dysfunction. The mean left ventricular activation time was 75 ± 8 ms. At a median follow‐up of 6 weeks, pacing parameters remained stable with no evidence of lead displacement, haematoma, or infection. There were no immediate procedural complications. Conclusions LBBP appears to be a feasible and safe physiological pacing strategy in nonagenarians with symptomatic bradycardia. Further studies are needed to confirm the long‐term outcomes of LBBP in elderly patients. 10.1111/pace.70189 http://onlinelibrary.wiley.com/termsAndConditions#vor |
| title | Feasibility and Safety of Left Bundle Branch Pacing in Nonagenarians: A Single Center Observational Study |
| topic | Pacing and Clinical Electrophysiology |
| url | https://onlinelibrary.wiley.com/doi/10.1111/pace.70189 |