Endocardial Pacemaker Implantation in Neonates and Infants

Ayabakan, Canan and Rosenthal, Eric (2006) Endocardial Pacemaker Implantation in Neonates and Infants. [Journal (Paginated)]

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Transvenous pacemaker lead implantation is the preferred method of pacing in adult patients. Lead performance and longevity are superior and the implantation approach can be performed under local anaesthetic with a very low morbidity. In children, and especially in neonates and infants, the epicardial route was traditionally chosen until the advent of smaller generators and lead implantation techniques that allowed growth of the child without lead displacement. Endocardial implantation is not universally accepted, however, as there is an incidence of venous occlusion of the smaller veins of neonates and infants with concerns for loss of venous access in the future. Growing experience with lower profile leads, however, reveals that endocardial pacing too can be performed with low morbidity and good long-term results in neonates and infants.

Item Type:Journal (Paginated)
Keywords:Pacemaker; Endocardial pacing; Epicardial pacing; Lead extraction
Subjects:JOURNALS > Indian Pacing and Electrophysiology Journal
ID Code:4689
Deposited By: Indian Pacing and Electrophysiology, Journal
Deposited On:01 Apr 2006
Last Modified:11 Mar 2011 08:56

References in Article

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1. Beauford-Krol GCM, Mulder H, Nagelkerke D, et al. Comparison of longevity, pacing and sensing characteristics of steroid eluting epicardial versus conventional endocardial pacing leads in children. J Thorac Cardiovasc Surg 1999; 117: 523-528.

2. Kugler JD, Danford DA. Pacemakers in children: an update. Am Heart J 1989; 117: 665-9.90.

3. Serwer GA. Permanent pacing in children: Acute lead implantation and long-term follow-up. Progress in Pediatric Cardiology 1995; 4: 31-41.

4. Alexander ME. Transvenous pacing in infants: a faith based initiative? Pacing Clin Electrophysiol 2004; 27: 1463-1465.

5. Ward DE, Jones S, Shinebourne EA. Long-term transvenous pacing in children weighing ten kilograms or less. Int J Cardiol 1987; 15: 112-115.

6. Spotnitz HM. Transvenous pacing in infants and children with congenital heart disease. Ann Thorac Surg 1990; 49: 495-6.

7. Gheissari A. Hordof AJ. Spotnitz HM. Transvenous pacemakers in children: relation of lead length to anticipated growth. Ann Thorac Surg 1991; 52: 118-21.

8. Rosenthal E, Bostock J. Use of an atrial loop to extend the duration of endocardial pacing in a neonate. PACE 1997; 20:2489-91.

9. Till JA, Jones S, Rowland E, et al. Endocardial pacing in infants and children 15 kilograms or less in weight: medium term follow-up. Pacing Clin Electrophysiol 1990; 13: 1385-1392.

10. Sivarajah J, Huggon I. C, Rosenthal E. Successful management of fetal hydrops due to congenitally complete atrioventricular block. Cardiol Young 2003; 13: 380-383.

11. Kammeraad JAE, Rosenthal E, Bostock J, Rogers J, Sreeram N. Endocardial pacemaker implantation in infants weighing ≤ 10 kilograms. Pacing Clin Electrophysiol 2004; 27: 1466-1474.

12. Cohen MI, Bush DM, Vetter VL, et al. Permanent epicardial pacing in pediatric patients: seventeen years of experience and 1200 outpatient visits. Circulation 2001; 103: 2585-2590.

13. Villain E, Martelli H, Bonnet D, et al. Characteristics and results of epicardial pacing in neonates and infants. Pacing Clin Electrophysiol 2000; 23: 2052-2056.

14. Guerola M, Prat B, Bofill J. (abstract) Endocardial DDD pacing in new-born patients: 5 years follow-up. PACE 1999; 22 (II): A148.

15. Stojanov P, Velimirovic D, Zivkovic M, et al. Permanent endocardial pacing by cephalic vein access in newborns and infants-surgical techniques. Cardiovasc Surg 2001; 9: 75-76.

16. Stojanov P, Vranes M, Velimirovic D, et al. Prevalence of venous obstruction in permanent endogenous pacing in newborns and infants: follow-up. Pacing Clin Electrophysiol 2005; 28: 361-365.

17. Costa R, Martinelli Filho M, Tamaki WT, Crevelari ES, D'Orio Nishioka S, Moreira LFP, Oliveira SA. Transfemoral pediatric permanent pacing: Long-term results. Pacing & Clinical Electrophysiology 2003; 26(1 II): 487-491.

18. Adwani SS, Sreeram N, DeGiovanni JV. Percutaneous transhepatic dual chamber pacing in children with Fontan circulation. Heart 1997;77:574–575.

19. Figa FH, McCrindle BW, Bigras JL, et al. Risk factors for venous obstruction in children with transvenous pacing leads. Pacing Clin Electrophysiol 1997; 20: 1902-1909.

20. Moak JP, Barron KS, Hougen TJ, et al.: Congenital heart block: development of late-onset cardiomyopathy, a previously underappreciated sequela. J Am Coll Cardiol 2001, 37:238–242.

21. Janousek J, Tomek V, Chaloupecky V, et al.: Dilated cardiomyopathy associated with dual-chamber pacing in infants: improvement through either left ventricular cardiac resynchronization or programming the pacemaker off allowing intrinsic normal conduction. J Cardiovasc Electrophysiol 2004, 15:470–474.


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