Role of conduction system pacing in ablate and pace strategies for atrial fibrillation

With the advent of conduction system pacing, the threshold for performing ‘ablate and pace’ procedures for atrial fibrillation has gone down markedly in many centres due to the ability to provide a simple and physiological means of pacing the ventricles. This article reviews the technical considerations for this strategy as well as the current evidence, recognized indications, and future perspectives.