title: Anatomical approach to permanent His bundle pacing: Optimizing His bundle capture.
abstract: Permanent His bundle pacing is a physiological alternative to right ventricular pacing. In this article we describe our approach to His bundle pacing in patients with AV nodal and intra-Hisian conduction disease. It is essential for the implanters to understand the anatomic variations of the His bundle course and its effect on the type of His bundle pacing achieved. We describe several case examples to illustrate our anatomical approach to permanent His bundle pacing in this article.
authors.affiliation: Geisinger Heart Institute, Wilkes Barre, PA. Electronic address: pvijayaraman1@geisinger.edu.
authors.forename: Pugazhendhi
authors.initials: P
authors.lastname: Vijayaraman
authors.affiliation: Indiana University School of Medicine, Indianapolis, IN.
authors.forename: Gopi
authors.initials: G
authors.lastname: Dandamudi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D002036:Bundle of His / Q000503:physiopathology*; D002037:Bundle-Branch Block / Q000503:physiopathology* / Q000517:prevention & control*; D002304:Cardiac Pacing, Artificial / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D019317:Evidence-Based Medicine; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008955:Models, Cardiovascular; D016896:Treatment Outcome
keywords: His bundle pacing; Intra-Hisian AV block; Nonselective His bundle pacing; Selective His bundle pacing