Individualized right anterior oblique view for reproducible left bundle branch area pacing procedures for each patient

Left bundle branch area pacing (LBBAP) has been gaining rapid attention for its effectiveness in recent years. According to the MELOS study,1 a high success rate for the procedure has been reported; however, these data are limited to experienced operators, and the results of operators with less experience have not been fully examined. It has also been shown that there is a learning curve for the initial cases, suggesting that the establishment of implant techniques that do not depend on the operator’s experience is necessary for a widespread adoption.