{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T09:08:01Z","timestamp":1771232881231,"version":"3.50.1"},"reference-count":20,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Permanent His bundle pacing (PHBP) preserves physiological ventricular activation but technical difficulties have limited its widespread use. We report the first experience of PHBP performed with a new specific delivery sheath (Selectra 3D, Biotronik, Berlin, Germany) and an extendable\u2010retractable active screw, stylet\u2010driven pacing lead (Solia S 60, Biotronik).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Clinical, procedural, ECG, and electrical data from consecutive patients undergoing PHBP with this system were collected at implantation, and follow\u2010up was performed after 1 month. Our cohort included 17 patients (71% males; mean age 76\u2009\u00b1\u20098 years) undergoing permanent pacing for sick sinus syndrome (59%) or atrioventricular block (41%). PHBP was successful in 15 (88%) procedures with mean procedure and fluoroscopy times of 63\u2009\u00b1\u200914 and 13\u2009\u00b1\u20095\u2009min, respectively. The pacing threshold was 2.1\u2009\u00b1\u20091.1\u2009V @1\u2009ms and the sensed R\u2010wave amplitude was 5.6\u2009\u00b1\u20093.5\u2009mV; bipolar and unipolar pacing impedances were 526\u2009\u00b1\u2009115 and 369\u2009\u00b1\u2009109\u2009\u03a9, respectively. At discharge, neither procedure\u2010related complications nor lead dislodgement or pacing capture failures was reported. After 1 month, 14 (93%) patients still demonstrated His bundle stimulation and one (7%) lost His bundle capture but the lead revision was not necessary because the myocardial pacing threshold was stable. Follow\u2010up threshold (2\u2009\u00b1\u20091.1 vs. 2.3\u2009\u00b1\u20091.2\u2009V@1\u2009ms, <jats:italic>p<\/jats:italic>\u2009=\u2009.239) and sensed R\u2010wave amplitude (5.6\u2009\u00b1\u20093.4 vs. 6.4\u2009\u00b1\u20092.5, <jats:italic>p<\/jats:italic>\u2009=\u2009.403) was unchanged compared to the acute phase.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PHBP performed with a standard active fixation pacing lead and a new delivery sheath for His pacing is feasible, safe and demonstrates clinically acceptable electric performance both at implantation and after 1 month.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14869","type":"journal-article","created":{"date-parts":[[2021,1,10]],"date-time":"2021-01-10T18:09:28Z","timestamp":1610302168000},"page":"449-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Permanent His bundle pacing using a new tridimensional delivery sheath and a standard active fixation pacing lead: The telescopic technique"],"prefix":"10.1111","volume":"32","author":[{"given":"Gianluca","family":"Zingarini","sequence":"first","affiliation":[{"name":"Department of\u00a0Cardiology University Hospital of Perugia  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0904-6577","authenticated-orcid":false,"given":"Francesco","family":"Notaristefano","sequence":"additional","affiliation":[{"name":"Department of\u00a0Cardiology University Hospital of Perugia  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Spighi","sequence":"additional","affiliation":[{"name":"Department of\u00a0Cardiology University Hospital of Perugia  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Bagliani","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology, IRCCS San Donato Hospital San Raffaele University  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Cavallini","sequence":"additional","affiliation":[{"name":"Department of\u00a0Cardiology University Hospital of Perugia  Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90567-3"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/pace.13130"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2019.03.026"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.10.014"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euy058"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.101.8.869"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq038"},{"issue":"34","key":"e_1_2_10_9_1","first-page":"2281","article-title":"ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: the Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). 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