Electroanatomic mapping‐guided localization of alternative right ventricular septal pacing sites in children

Silvetti, Massimo Stefano; Battipaglia, Irma; Pazzano, Vincenzo; Saputo, Fabio Anselmo; Ravà, Lucilla; Ammirati, Antonio; Calvieri, Camilla; Ciani, Michele; Drago, Fabrizio

doi:10.1111/pace.13447

Cited by 8 publications

(10 citation statements)

References 21 publications

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“…In the last few years, alternative pacing sites in pediatric pacing have been more commonly used, either with endocardial pacing in the right ventricle 18,19 or with epicardial pacing in the LV. Retrospective studies in children have consistently shown that LV pacing is safe and effective in preserving LV synchrony and function 8‐9,20‐22 …”

Section: Discussionmentioning

confidence: 99%

Left ventricular (LV) pacing in newborns and infants: Echo assessment of LV systolic function and synchrony at 5‐year follow‐up

Silvetti

Muzi

Unolt

et al. 2020

Pacing Clinical Electrophis

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Background Small retrospective studies reported that left ventricular (LV) pacing is likely to preserve LV function in children with isolated congenital complete atrioventricular block (CCAVB). The aim of this study was to prospectively evaluate LV contractility and synchrony in a cohort of neonates/infants at pacemaker implantation and follow‐up. Methods Patients with CCAVB who underwent LV pacing were evaluated with electrocardiogram and echocardiogram in a single‐center, prospective study. Data were collected at implantation, at 1‐month and every year of follow‐up, up to 5 years. LV ventricular dimensions (diameters and volumes), systolic function (ejection fraction [EF] and global longitudinal strain [GLS]), and synchrony were evaluated. Data are reported as median (25th‐75th centiles). Results Twenty consecutive patients with CCAVB underwent pacemaker implantation (12 single‐chamber pacemaker [VVIR] and eight dual‐chamber pacemaker [DDD]) with epicardial leads: 17 on the LV apex and three on the free wall. Age at implantation was 0.3 months (1 day‐4.5 months). Patients showed good clinical status, normal LV dimensions, preserved systolic function, and synchrony at 60 (30‐60) months follow‐up. EF increased to normal values in patients with preimplantation EF <50%. Presence of antibodies and pacing mode (DDD vs VVIR) had no impact on the outcome. Conclusions LV pacing preserved LV systolic function and synchrony in neonates and infants with CCAVB at 5‐year follow‐up. LV EF improved in patients with low preimplantation EF. Pacing mode or the presence of autoantibodies did not demonstrated an impact on LV contractility and synchrony.

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Section: Discussionmentioning

confidence: 99%

Left ventricular (LV) pacing in newborns and infants: Echo assessment of LV systolic function and synchrony at 5‐year follow‐up

Silvetti

Muzi

Unolt

et al. 2020

Pacing Clinical Electrophis

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“…EAM has been shown to significantly reduce fluoroscopy times with single [ 52 , 53 ], dual [ 16 , 54 , 55 ], and CRT devices [ 15 , 30 , 56 ]. For traditional CRT devices, the most time-consuming and fluoroscopic-dependent step is the cannulation of the CS os with the guide sheath.…”

Section: The Obsolescence Of Fluoroscopy—transition To Alternate Imag...mentioning

confidence: 99%

Aegrescit medendo: orthopedic disability in electrophysiology - call for fluoroscopy elimination—review and commentary

Rubenstein

Holmes

Manfredi

et al. 2022

J Interv Card Electrophysiol

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“…Authors suggest that the EnSite Velocity system is a useful adjunct to minimize fluoroscopy use for device implantation procedures in children, especially for those with repaired congenital heart defects, whereas cost and longer procedure times are of concern. Silvetti et al 31 has also implanted single‐ and dual‐chamber pacemakers in pediatric patients (complete AVB) with the aid of the EnSite Velocity system, while localizing alternative right ventricular sites with narrower paced QRS.…”

Section: Ensite Systemmentioning

confidence: 99%

Progress in zero‐fluoroscopy implantation of cardiac electronic device

Qiu

Wang

Chen

et al. 2020

Pacing Clinical Electrophis

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Fluoroscopy is the imaging modality routinely used for cardiac device implantation. Due to the rising concern regarding the harmful effects of radiation exposure to both the patients and operation staffs, many efforts have been made to develop alternative techniques to achieve zero‐fluoroscopy implantation. In this review, we describe the different methods aimed at avoiding the application of fluoroscopy in recent years, and evaluate their feasibility and safety in cardiac electronic device implantation.

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Electroanatomic mapping‐guided localization of alternative right ventricular septal pacing sites in children

Abstract: EAM-guided procedures have been useful to reduce radiation exposure and to localize RVAPS with narrower paced QRS and lower GLS than RVA.

Cited by 8 publications

References 21 publications

Left ventricular (LV) pacing in newborns and infants: Echo assessment of LV systolic function and synchrony at 5‐year follow‐up

Left ventricular (LV) pacing in newborns and infants: Echo assessment of LV systolic function and synchrony at 5‐year follow‐up

Aegrescit medendo: orthopedic disability in electrophysiology - call for fluoroscopy elimination—review and commentary

Progress in zero‐fluoroscopy implantation of cardiac electronic device

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