First physiological implantation of a pacing system in a child at the MUW

This is another pioneering procedure in the field of electrotherapy. In the Department of Pediatric Cardiology and General Pediatrics MUW, led by Professor Bożena Werner, performed the first ever implantation of a pacemaker using selective left bundle branch in the history of this department.

-This procedure, called LBBP - Left Bundle Branch Pacing, is the most advanced type of physiological cardiac pacing (CSP - Conduction System Pacing). Increasingly used in adults, it offers new treatment options also in children with bradyarrhythmia and heart failure - says Prof. Marcin Grabowski, Head of the 1st Chair and Department of Cardiology MUW.

The procedure was performed in a 9-year-old girl with heart failure. The patient had a history of fulminant myocarditis at the age of 4.5 years with the need for ECMO circulatory support, complicated by third-degree atrioventricular block.

- LBBP is an advanced technology that involves screwing a special electrode into a small structure inside the heart, where electrical impulses are naturally conducted. In this way, the muscle is stimulated in a manner consistent with natural processes - says Dr. Piotr Wieniawski of the Department of Pediatric Cardiology and General Pediatrics MUW.

The LBBP procedure is one of the latest techniques for stimulating the cardiac pacing system. Stimulation of the cardiac pacing system is gaining interest because of its ability to avoid secondary contractile abnormalities associated with prolonged right ventricular pacing. It is very likely that this particular method will one day permanently replace classical right ventricular pacing and, in some cases, resynchronization pacing as well.

The procedure was performed by: Prof. Marcin Grabowski - main surgeon, Dr. Piotr Wieniawski - first assistant, Dr. Tomasz Książczyk - electrophysiologist, Dr. Sylwester Rogula, Dr. Magdalena Franke, Dr. Beata Cała - anesthesiologists, Ewa Kolczyńska and Kinga Ostrowska - surgical nurses. Aleksander Korzeniowski and Grażyna Pietrzak - anesthesiogical nursing team.