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The common features of this implantation technique are shown in Figure 1 and summarized as follows: (1) transvenous access; (2) transseptal placement of the pacing lead into the LV septal subendocardium in the LBB region; and (3) confirmation of capture of the LBB.
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Simultaneous Ao and LV pressure (transseptal approach, 0 to 200 mm Hg scale) shows that atrial activity is absent in the first beat, a junctional beat (∗). Without the atrial contribution, Ao systolic pressure is 132 mm Hg, and LV systolic pressure is 190 mm Hg.
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