Figure 1 Biventricular pacemaker (CRT-P) with His-Optimized Cardiac Resynchronization Therapy, i.e. His Bundle Pacing (HBP) lead plus conventional left ventricular (LV) lead in coronary sinus (CS) in a subcutaneous implantable-cardioverter defibrillator patient. A : HBP lead implantation with SSPC3 delivery (Boston Scientific).B : CS angiography with selection of antero-lateral venous branch of CS as target vessel for LV lead implantation. C andD : Right anterior oblique and left anterior oblique views, respectively, of the whole CRT-P system implanted.