{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:33:55Z","timestamp":1790739235977,"version":"4.1.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T00:00:00Z","timestamp":1678752000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,19]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>The field of conduction system pacing (CSP) is evolving, and our aim was to obtain a contemporary picture of European CSP practice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>A survey was devised by a European CSP Expert Group and sent electronically to cardiologists utilizing CSP. A total of 284 physicians were invited to contribute of which 171 physicians (60.2%; 85% electrophysiologists) responded. Most (77%) had experience with both His-bundle pacing (HBP) and left bundle branch area pacing (LBBAP). Pacing indications ranked highest for CSP were atrioventricular block (irrespective of left ventricular ejection fraction) and when coronary sinus lead implantation failed. For patients with left bundle branch block (LBBB) and heart failure (HF), conventional biventricular pacing remained first-line treatment. For most indications, operators preferred LBBAP over HBP as a first-line approach. When HBP was attempted as an initial approach, reasons reported for transitioning to utilizing LBBAP were: (i) high threshold (reported as &amp;gt;2\u2005V at 1\u2005ms), (ii) failure to reverse bundle branch block, or (iii) &amp;gt; 30\u2005min attempting to implant at His-bundle sites. Backup right ventricular lead use for HBP was low (median 20%) and predominated in pace-and-ablate scenarios. Twelve-lead electrocardiogram assessment was deemed highly important during follow-up. This, coupled with limitations from current capture management algorithms, limits remote monitoring for CSP patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This survey provides a snapshot of CSP implementation in Europe. Currently, CSP is predominantly used for bradycardia indications. For HF patients with LBBB, most operators reserve CSP for biventricular implant failures. Left bundle branch area pacing ostensibly has practical advantages over HBP and is therefore preferred by many operators. Practical limitations remain, and large randomized clinical trial data are currently lacking.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/europace\/euad019","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T08:04:09Z","timestamp":1678781049000},"source":"Crossref","is-referenced-by-count":87,"title":["Conduction system pacing, a European survey: insights from clinical practice"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7472-7358","authenticated-orcid":false,"given":"Daniel","family":"Keene","sequence":"first","affiliation":[{"name":"National Heart and Lung Institute, Imperial College London , Du Cane Road, London W12 , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2130-9790","authenticated-orcid":false,"given":"Fr\u00e9d\u00e9ric","family":"Anselme","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Centre Hospitalier Universitaire de Rouen Charles Nicolle , Rouen , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4393-5338","authenticated-orcid":false,"given":"Haran","family":"Burri","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital of Geneva , Geneva , Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6783-0138","authenticated-orcid":false,"given":"\u00d3scar Cano","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Unidad de Arritmias, Servicio de Cardiolog\u00eda, Hospital Universitario y Polit\u00e9cnico La Fe , Valencia , Spain"},{"name":"Department of Cardiology, Centro de Investigaciones Biom\u00e9dicas en RED en Enfermedades Cardiovasculares , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3523-6358","authenticated-orcid":false,"given":"Karol","family":"\u010curila","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady , Prague , Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0685-0845","authenticated-orcid":false,"given":"Michael","family":"Derndorfer","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine 2 with Cardiology, Angiology and Intensive Care, Ordensklinikum Linz Elisabethinen , Linz , Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4856-832X","authenticated-orcid":false,"given":"Paul","family":"Foley","sequence":"additional","affiliation":[{"name":"Wiltshire Cardiac Centre, Great Western Hospitals NHS Foundation Trust , Swindon , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e1szl\u00f3","family":"Gell\u00e9r","sequence":"additional","affiliation":[{"name":"Semmelweis University, Cardiovascular Center , Budapest , Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5706-0395","authenticated-orcid":false,"given":"Michael","family":"Glikson","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shaare Zedek Medical Center and Hebrew University faculty of medicine , Jerusalem , Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2964-8068","authenticated-orcid":false,"given":"Wim","family":"Huybrechts","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Hospital Antwerp , Edegem , Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3318-6601","authenticated-orcid":false,"given":"Marek","family":"Jastrzebski","sequence":"additional","affiliation":[{"name":"First Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College , Krak\u00f3w , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1356-5249","authenticated-orcid":false,"given":"Krzysztof","family":"Kaczmarek","sequence":"additional","affiliation":[{"name":"Electrocardiology Department, Medical University of Lodz , Lodz , Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0324-5623","authenticated-orcid":false,"given":"Grigorios","family":"Katsouras","sequence":"additional","affiliation":[{"name":"Department of Cardiology, \u2018F. Miulli\u2019 Hospital, Acquaviva delle Fonti , Bari , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0257-8629","authenticated-orcid":false,"given":"Jonathan","family":"Lyne","sequence":"additional","affiliation":[{"name":"Cardiology Department, Beacon Hospital , Dublin , Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0641-5077","authenticated-orcid":false,"given":"Pablo Pe\u00f1afiel","family":"Verd\u00fa","sequence":"additional","affiliation":[{"name":"Arrhythmia Unit, Department of Cardiology, Virgen de la Arrixaca University Hospital , Murcia , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Restle","sequence":"additional","affiliation":[{"name":"Division of Cardiology and Angiology II, University Heart Center Freiburg-Bad Krozingen , Bad Krozingen , 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