Efficacy of prophylactic epicardial pacing leads in children and young adults

The Annals of Thoracic Surgery
Mitchell I CohenJ W Gaynor

Abstract

Epicardial pacemakers are often required in children and young adults who cannot undergo a transvenous system because of patient size, vascular barriers, or significant residual intracardiac shunts. Prophylactic epicardial pacing leads, placed at the time of concomitant congenital heart surgery, may reduce a late thoracotomy or sternotomy. The efficacy of prophylactic epicardial leads in the pediatric population is unknown. A retrospective review of the cardiovascular surgery and pacemaker databases at The Children's Hospital of Philadelphia identified all patients less than or equal to 21 years of age, who underwent placement of an epicardial pacing lead between January 1, 1990 and December 31, 2002. Prophylactic epicardial pacing leads placed at the time of a concomitant congenital heart procedure were compared to standard epicardial leads that were connected to a simultaneous programable generator. Pacing and sensing threshold data were obtained in prophylactic epicardial leads at the time of lead retrieval and 6 month follow-up and compared to standard epicardial pacing leads. Twenty-two (13 ventricular, 9 atrial) prophylactic epicardial pacing leads were retrieved in 13 patients at a median of 252 days (7 days to 3.98 year...Continue Reading

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Citations

Aug 7, 2010·Pediatric Cardiology·Brian J LichtensteinStephen P Seslar
Oct 30, 2012·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Daiji Takeuchi, Yasuko Tomizawa
Feb 27, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Nestoras PapadopoulosFarhad Bakhtiary
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Oct 11, 2014·General Thoracic and Cardiovascular Surgery·Daiji Takeuchi, Yasuko Tomizawa
Oct 25, 2017·Pacing and Clinical Electrophysiology : PACE·Jun SasakiAnthony F Rossi
Jul 2, 2019·Circulation·Jack RychikUNKNOWN American Heart Association Council on Cardiovascular Disease in the Young and Council on Cardiovascular and Stroke Nursing
Jan 18, 2007·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Farhad BakhtiaryPeter Kleine
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