Applications of pacing strategies in neonates and infants

Maginot, Kathleen R.; Mathewson, James W.; Bichell, David P.; Perry, James C.

doi:10.1016/s1058-9813(00)00037-0

Cited by 21 publications

(25 citation statements)

References 52 publications

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“…3 Konta et al 2 recognize that their practice is unusual and that the high rate of venous occlusion in small children after endocardial lead placement has lead a majority of pediatric electrophysiologists to favor epicardial pacing and defibrillation leads for patients weighing <10 to 15 kg. [4][5][6][7][8] That said, the outcomes of endocardial pacing system placement reported by Konta et al 2 are unusually favorable for patients weighing >5 to <10 kg when compared with prior studies, documenting a low 8% incidence of subclavian vein occlusion in 13 patients at a median of 9.2 years (range, 3 months to 12.9 years). The incidence of subclavian vein occlusion reported by Konta et al 2 for patients weighing <5 kg is closer to prior publications at 70% in 13 patients at a median of 9.2 years (range, 3 months to 12.9 years).…”

Section: See Article By Konta Et Almentioning

confidence: 82%

Pacemakers and Other Cardiac Implantable Devices in Children

Saarel

Aziz

2016

Circ: Arrhythmia and Electrophysiology

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Section: See Article By Konta Et Almentioning

confidence: 82%

Pacemakers and Other Cardiac Implantable Devices in Children

Saarel

Aziz

2016

Circ: Arrhythmia and Electrophysiology

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“…4,[12][13][14] Transvenous pacing was, therefore, only practiced in a small number of centers. [6][7][8][9][10][11] To date, ours is the only single-center series of transvenous pacing in children <10 kg with systematic follow-up and is therefore unique in documenting the long-term follow-up over a minimum of 11 years ≤27 years.…”

Section: Discussionmentioning

confidence: 99%

Twenty-Seven Years Experience With Transvenous Pacemaker Implantation in Children Weighing <10 kg

Konta

Chubb

Bostock

et al. 2016

Circ: Arrhythmia and Electrophysiology

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Original ArticleBackground-Epicardial pacemaker implantation is the favored approach in children weighing <10 kg in many units. The high incidence of premature failure and fractures with earlier epicardial leads led our unit to undertake transvenous pacemaker implantation in neonates and infants from 1987. To date there have been no long-term follow-up reports of what is for many a controversial strategy. Methods and Results-Between 1987 and 2003, 37 neonates and infants-median age 6.7 months (1 day to 3 years) and median weight 4.6 kg (2.7-10 kg)-had a permanent transvenous pacing system implanted. Pacing leads were placed into the right ventricular apex/outflow tract through a subclavian vein puncture with a redundant loop in the atrium. Three patients were lost to follow-up, 4 patients died from complications of cardiac surgery, and 2 patients had their system removed. At long-term follow-up in 28 patients at a median of 17.2 (range, 11.2-27.4) years, 10 patients have a single chamber ventricular pacemaker, 14 a dual chamber pacemaker, 3 a biventricular pacemaker, and 1 has a single chamber implantable cardioverter defibrillator. Subclavian vein patency was assessed in 26 patients. The overall subclavian vein occlusion rate was 10 of 13 (77%) <5 kg and 2 of 13 (15%) >5 kg during long-term follow-up. After a median of 14.3 (range, 13.4-17.6) years of pacing, 7 patients continue with their original lead. Conclusions-Transvenous pacing in infants <10 kg results in encouraging short-and long-term clinical outcomes.Subclavian vein occlusion remains an important complication, occurring predominantly in those weighing <5 kg.(Circ Arrhythm Electrophysiol. 2016;9:e003422.

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“…A pacemaker battery may last for 5 -10 years in most paediatric patients (Udink ten Welisch et al, 2010). Battery survival is influenced by many factors, of which pacing mode, programmed heart rate, pacing lead performance, and percentage of cumulative stimulation are the most important (Maginot et al, 2000.;Batra & Balaji, 2006). The higher heart rate requirements of infants and children compared with adults result in less battery durability.…”

Section: Battery Longevity and Autocapture-controlled Pacingmentioning

confidence: 99%