Stylet-directed His bundle lead placement: Early days of an emerging contender

The development process for medical therapies rarely goes to plan. Even the soundest hypotheses, derived from the first principles, either succeed via unanticipated mechanisms or fail to generate meaningful results. His bundle pacing (HBP), however, delivers on the simple concept that using the native conduction system is preferable to using direct myocardial capture. Since its first description of use in clinical practice1Deshmukh P. Casavant...