Twenty years of paediatric cardiac pacing: 515 pacemakers and 480 leads implanted in 292 patients

• DOI: 10.1093/europace/eul062
• Publication Date: 2006-06-23T10:26:41Z
• Authors: Massimo Stefano S...; Fabrizio Drago; Giorgia Grutter; Antonella De Santis; Vincenzo Di Ciommo; Lucilla Ravà
• Keywords: Male; Pacemaker, Artificial; Chi-Square Distribution; Adolescent; Heart Diseases; Cardiac Pacing, Artificial; Infant, Newborn; Infant; Electrodes, Implanted; 3. Good health; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Child, Preschool; Humans; Equipment Failure; Female; Child; Proportional Hazards Models; Retrospective Studies

The aim of this study was to evaluate long-term outcome pacemakers (PMs) in paediatric patients.Patients' data were retrospectively reviewed. We recorded the techniques and systems used, any complication, outcome. Endocardial leads inserted by transcutaneous puncture subclavian vein fixed with a non-absorbable ligature, epicardial standard surgical technique. Lead survival calculated plotted product limit method Kaplan-Meier. Between 1982 2002, 292 patients, aged 8+/-7 years (range 1 day-18 years), underwent PM implantation: first had endocardial 165 patients 127 patients. Structural heart disease (HD) present 239 Follow-up 5+/-4 0.1-18) years. There no pacing-related deaths. In total, 211 implantation procedures 90 atrial ventricular 145 103 123 performed. Early (<3 months) complications: haemothorax occurred 3.5% dislodgement not significantly different for leads. Late 63 failed (48 epicardial), worst conventional (31 vs. 9% endocardial, P<0.05; steroid eluting 8% 5% P=NS). (7%) operated HD (6%) after body growth, without difference estimated mean time (11 years). late infection/erosion approximately 2% all patients.Pacing children shows good results, but complications are frequent related pacing showed better