{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:42:24Z","timestamp":1792496544621,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","heartrhythmjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.hrthm.2026.09.012","type":"journal-article","created":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T12:51:08Z","timestamp":1789908668000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quantitative CT lead localization reveals proximal left bundle targeting facilitates superior physiologic pacing"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7059-425X","authenticated-orcid":false,"given":"Shunmuga Sundaram","family":"Ponnusamy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Spaziani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Habibulla","family":"Moghal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarikh","family":"Asyraf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lev","family":"Zaretsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thabish","family":"Syed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saravana","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Cappabianca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin T.","family":"Tretter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shlomo","family":"Ben-Haim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth A.","family":"Ellenbogen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pugazhendhi","family":"Vijayaraman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.hrthm.2026.09.012_bib1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.hrthm.2017.10.014","article-title":"Permanent His-bundle pacing as an alternative to biventricular pacing for cardiac resynchronization therapy: A multicenter experience","volume":"15","author":"Sharma","year":"2018","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib2","doi-asserted-by":"crossref","first-page":"1797","DOI":"10.1016\/j.hrthm.2019.05.009","article-title":"On-treatment comparison between corrective His bundle pacing and biventricular pacing for cardiac resynchronization: A secondary analysis of the His-SYNC Pilot Trial","volume":"16","author":"Upadhyay","year":"2019","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib3","doi-asserted-by":"crossref","first-page":"1819","DOI":"10.1093\/europace\/euy058","article-title":"Permanent His-bundle pacing: A systematic literature review and meta-analysis","volume":"20","author":"Zanon","year":"2018","journal-title":"Europace"},{"key":"10.1016\/j.hrthm.2026.09.012_bib4","first-page":"1736.e1","article-title":"A novel pacing strategy with low and stable output: Pacing the left bundle branch immediately beyond the conduction block","volume":"33","author":"Huang","year":"2017","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib5","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.120.009261","article-title":"Long-term safety and feasibility of left bundle branch pacing in a large single-center study","volume":"14","author":"Su","year":"2021","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib6","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.hrthm.2021.08.033","article-title":"Clinical outcomes of left bundle branch area pacing compared to right ventricular pacing: Results from the Geisinger-Rush Conduction System Pacing Registry","volume":"19","author":"Sharma","year":"2022","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijcard.2023.131230","article-title":"Safety and efficacy of left bundle branch area pacing compared with right ventricular pacing in patients with bradyarrhythmia and conduction system disorders: Systematic review and meta-analysis","volume":"390","author":"Leventopoulos","year":"2023","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib8","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/j.jacc.2022.07.019","article-title":"Randomized trial of left bundle branch vs biventricular pacing for cardiac resynchronization therapy","volume":"80","author":"Wang","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib9","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.jacep.2020.08.015","article-title":"Left bundle branch area pacing for cardiac resynchronization therapy: Results from the International LBBAP Collaborative Study Group","volume":"7","author":"Vijayaraman","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib10","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.1016\/j.jacep.2026.01.037","article-title":"Long-term outcomes and safety of His-Purkinje conduction system pacing in China: The ChiCSP study","volume":"12","author":"Huang","year":"2026","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib11","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.hrthm.2025.04.035","article-title":"Hierarchical physiologic pacing to enhance clinical outcomes in conduction system pacing","volume":"23","author":"Ponnusamy","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib12","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.07.003","article-title":"Conduction-guided intervention: A first-in-human study of computed tomography angiography-guided targeting of proximal conduction system structures","author":"Cano","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib13","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1016\/j.hrcr.2020.08.010","article-title":"Left bundle branch pacing guided by premature ventricular complexes during implant","volume":"6","author":"Ponnusamy","year":"2020","journal-title":"HeartRhythm Case Rep"},{"key":"10.1016\/j.hrthm.2026.09.012_bib14","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.120.009677","article-title":"Template beat: A novel marker for left bundle branch capture during physiological pacing","volume":"14","author":"Ponnusamy","year":"2021","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib15","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1016\/j.jacep.2021.02.018","article-title":"Evaluation of the criteria to distinguish left bundle branch pacing from left ventricular septal pacing","volume":"7","author":"Wu","year":"2021","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib16","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1016\/j.hrthm.2024.12.022","article-title":"Novel cardiac CT method for identifying the atrioventricular conduction axis by anatomic landmarks","volume":"22","author":"Tretter","year":"2025","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib17","doi-asserted-by":"crossref","first-page":"2388","DOI":"10.1016\/j.hrthm.2024.10.002","article-title":"A new dimension in cardiac imaging: Three-dimensional exploration of the atrioventricular conduction axis with hierarchical phase-contrast tomography","volume":"21","author":"Tretter","year":"2024","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib18","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1016\/j.jelectrocard.2017.03.004","article-title":"The normal variants in the left bundle branch system","volume":"50","author":"Elizari","year":"2017","journal-title":"J Electrocardiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib19","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1016\/j.jaccas.2020.04.004","article-title":"Tracking down the anatomy of the left bundle branch to optimize left bundle branch pacing","volume":"2","author":"Cabrera","year":"2020","journal-title":"JACC Case Rep"},{"key":"10.1016\/j.hrthm.2026.09.012_bib20","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1016\/0002-9149(84)90415-6","article-title":"Comparison of echocardiographic and necropsy measurements of left ventricular wall thickness in patients with coronary artery disease","volume":"53","author":"Prakash","year":"1984","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.hrthm.2026.09.012_bib21","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1161\/01.CIR.55.2.341","article-title":"Comparison of echocardiographic and necropsy measurements of ventricular wall thickness in patients with and without disproportionate septal thickening","volume":"55","author":"Maron","year":"1977","journal-title":"Circulation"},{"key":"10.1016\/j.hrthm.2026.09.012_bib22","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.echo.2012.10.008","article-title":"Normal ranges of left ventricular strain: A meta-analysis","volume":"26","author":"Yingchoncharoen","year":"2013","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.hrthm.2026.09.012_bib23","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/joa.12469","article-title":"Influence of different fixation protocols on the preservation and dimensions of cardiac tissue","volume":"229","author":"Ho\u0142da","year":"2016","journal-title":"J Anat"},{"key":"10.1016\/j.hrthm.2026.09.012_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.07.039","article-title":"Anatomical computed tomography-based framework for optimizing left bundle branch area pacing of the human conduction system","author":"Reyes","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib25","doi-asserted-by":"crossref","DOI":"10.15420\/aer.2025.18","article-title":"3D anatomy of the atrioventricular conduction axis reconstructed relative to gross anatomical landmarks using hierarchical phase-contrast tomography","volume":"14","author":"Tretter","year":"2025","journal-title":"Arrhythm Electrophysiol Rev"},{"key":"10.1016\/j.hrthm.2026.09.012_bib26","doi-asserted-by":"crossref","DOI":"10.1016\/j.hrthm.2026.07.018","article-title":"Unraveling the enigmatic morphology of the atrioventricular conduction axis using hierarchical phase-contrast tomography","author":"Almehandi","year":"2026","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hrthm.2026.09.012_bib27","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.hrthm.2024.01.003","article-title":"Correction of bundle branch block by so-called nonselective His bundle pacing: The potential role of accessory connections in the ventricular septal crest","volume":"21","author":"Mahmud","year":"2024","journal-title":"Heart Rhythm"}],"container-title":["Heart Rhythm"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126027761?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1547527126027761?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:07:11Z","timestamp":1792494431000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1547527126027761"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":27,"alternative-id":["S1547527126027761"],"URL":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.09.012","relation":{},"ISSN":["1547-5271"],"issn-type":[{"value":"1547-5271","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Quantitative CT lead localization reveals proximal left bundle targeting facilitates superior physiologic pacing","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hrthm.2026.09.012","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Heart Rhythm Society. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}