Comparison of clinical outcomes between transthoracic echocardiography and X-Ray guided left bundle branch pacing for bradycardia: a randomised control trial - An Editorial

Conduction system pacing has brought abut a shift in the delivery of device therapy. Although gaining growing adoption, challenges remain; one of which is higher fluoroscopy times. Yang et al describe reducing and even aiming to eliminate fluoroscopy in left bundle area pacing implantation and replacing lead visualisation with transthoracic echocardiography. This editorial reviews these methods in context with recent developments in conduction system pacing and current literature.