Hi @corjianne,

Your electrophysiologist is right about His Bundle Pacing (HBP) which has emerged as a feasible, reliable alternative to traditional pacemakers. Multiple studies now show that HBP offers much better outcomes – here are two established studies:
– His Bundle Pacing: A New Frontier in the Treatment of Heart Failure https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6020230/
– Long-term outcomes of His bundle pacing in patients with heart failure https://heart.bmj.com/content/105/2/137

@corjianne, I completely understand your concerns about the uncertainty of a relatively new therapy, but I hope this brief Q&A will reassure you about the potential and safety of this technique; I’ve copied some notes for your convenience –
"The barrier is educational and teaching physicians exactly how to do it. But I think that’s easily accomplished and we will see that in the near future and I think we will see far more physicians using His-bundle pacing than ever in the past.”
https://www.practiceupdate.com/content/permanent-his-bundle-pacemaker-registry-implications-for-clinical-practice/65304
Boston would probably be the closest for you, in terms of travel; might I ask if you would consider coming to Mayo Clinic? Mayo Clinic cardiovascular surgeons are on the leading edge of treating cardiovascular and cardiothoracic conditions, including those that are rare and complex – they use the latest innovations in heart surgery. You may also wish to view some of the patient stories that attest to the fact that Mayo Clinic is recognized as one of the top Cardiology and Heart surgery hospitals in the nation: https://www.mayoclinic.org/departments-centers/cardiovascular-surgery/sections/mayo-clinic-experience-patient-stories/orc-20123433

Please let me know if you need any more information, @corjianne; have you decided on a time-frame for the procedure?