Perirenal Space Implantation of Permanent Cardiac Pacemakers in Infants and Small Children

Hafez, Abdullah; Conso, J F; Belhaj, Marwa; Planché, C; Binet, J P

doi:10.1055/s-2007-1021953

Cited by 3 publications

(1 citation statement)

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“…The site of implantation of the pulse generator remains controversial. Several choices have been proposed, including the preperitoneal, perirenal, pleural and suprahepatic spaces 7–13 . The inferior abdominal wall, used in this report, allowed to implant pulse generators in neonates.…”

Section: Discussionmentioning

confidence: 99%

Transfemoral Pediatric Permanent Pacing:

Costa

Filho

Tamaki

et al. 2003

Pacing Clinical Electrophis

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The femoral vein has been used as an alternative conduit to implant pacemakers in children of any weight. Such method associates endocardial pacing and good cosmetics. The aim of this study was to evaluate prospectively, since 1981, the long-term follow-up of 99 children, from newborn to 13 years old (average = 4.1 +/- 3.6 years, 56 girls), who underwent the implantation of pacemakers via the femoral vein. Atrioventricular block was present in 88% of patients, of congenital etiology in 39% and postoperative in 54%. Single chamber pacemakers were implanted in 92% of patients. During a mean follow-up of 5.3 +/- 5.0 years (maximum = 18.2 years), 5 patients died of cardiac causes, 4 of infection, 2 suddenly, and 3 of unknown causes. The 5-, 10- and 15-year actuarial survival rates were 83.7%, 75.7%, and 75.7%, respectively. Transfemoral leads were used for a mean of 48.9 +/- 44.0 months. Reasons for lead explantations were pacing failure in five patients, infection in eight, and elective in nine. The 2-, 5- and 10-year actuarial survivals of transfemoral leads were 87.6%, 73.8%, and 31.8%, respectively. The mean lead survival was 97 months. Overall, 105 reoperations were performed, 38 for battery depletion, 24 for body growth, 14 for infection or pocket revisions, and 27 for miscellaneous reasons. In conclusion, the durability and overall long-term performance of transfemoral leads were excellent.

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Section: Discussionmentioning

confidence: 99%

Transfemoral Pediatric Permanent Pacing:

Costa

Filho

Tamaki

et al. 2003

Pacing Clinical Electrophis

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New site for pacemaker generators in children

Nikol

Minale²,

Engelhardt³

et al. 1990

European Journal of Cardio-Thoracic Surgery

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Bipolar pacemaker implantation was performed in three children, aged 5, 6 and 9 years. The two epimyocardial fishhook pacing electrodes were inserted through different incisions. After resection of the anterior part of the 5th and 6th rib, the generator was placed into a pocket with the posterior wall resulting from the remaining periostium/perichondrium and the anterior wall consisting of the isolated intercostal and pectoral muscle. The leads were brought in extrapleurally and connected to the generator. The operations were conducted without perioperative and late postoperative complications.

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