Selective-site pacing in paediatric patients: use of the SelectSecure System and risk of vein occlusion

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
Fulvio Gabbarini, Gabriella Agnoletti

Abstract

Few data are available about selective-site pacing in children. A 4.1 Fr lead is now available: it has to be introduced through an 8.4 Fr steerable catheter, and it raises concerns as to the long-term patency of the subclavian vein. The aim of this study was to systematically evaluate the patency of the subclavian vein in children who had selective-site pacing by the SelectSecure Lead System (SSLS) for atrioventricular block and look for possible local early and late complications. From June 2006 to January 2010, we implanted 20 patients. Mean age at implantation was 9 years (range 3-16), mean weight 31 kg (range 13-57). All patients received a dual-chamber pacemaker (PM). The patency of the subclavian vein was evaluated by ultrasound 1, 3, and every 6 months after the PM implantation. We also looked for oedema, swelling, changes in temperature or colour of the skin, and visible superficial circulation. Forty leads were implanted in 20 patients. After a median follow-up of 19 months (range 6-44), no clinical signs or symptoms of vein occlusion were detected in the whole population. None of the patients had an alteration of blood flow at Doppler examination. The SSLS is a promising and safe system for permanent intracardiac paci...Continue Reading

References

Nov 1, 1988·Pacing and Clinical Electrophysiology : PACE·P C GilletteP Kinsella
Aug 1, 1997·Pacing and Clinical Electrophysiology : PACE·F H FigaR M Gow
Sep 1, 1997·Journal of Clinical Ultrasound : JCU·M DauzatC Janbon
Aug 26, 1999·Pacing and Clinical Electrophysiology : PACE·R M CampbellK R Kanter
Oct 20, 1999·Pacing and Clinical Electrophysiology : PACE·P P KarpawichJ E Haas
Jun 23, 2001·Journal of the American College of Cardiology·M V TantengcoP P Karpawich
May 26, 2005·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Eva E ChinEdward G Grant
Apr 12, 2006·Pacing and Clinical Electrophysiology : PACE·Antonis S Manolis
Jun 27, 2006·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·Massimo Stefano SilvettiLucilla Ravà
Jul 14, 2006·Journal of Cardiovascular Electrophysiology·Yaniv Bar-CohenFrank Cecchin
Aug 23, 2006·Pacing and Clinical Electrophysiology : PACE·Michael D GammageUNKNOWN Worldwide SelectSecure Clinical Investigators
Mar 14, 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·Radu VatasescuTamas Szili-Torok
Apr 12, 2007·Acta Haematologica·Muhammad S SajidGeorge Hamilton
Jun 23, 2007·Pacing and Clinical Electrophysiology : PACE·Volkan Tuzcu

❮ Previous
Next ❯

Citations

Sep 17, 2014·Pacing and Clinical Electrophysiology : PACE·Jason GarnreiterElizabeth Saarel
Mar 10, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Emma ShepherdMark A Walsh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

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
Francesco CantùAntonello Gavazzi
Pacing and Clinical Electrophysiology : PACE
Dante Antonelli, Nahum Adam Freedberg
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
Wensheng ChenDing Sheng He
Pacing and Clinical Electrophysiology : PACE
Santabhanu ChakrabartiA Graham Stuart
Pacing and Clinical Electrophysiology : PACE
Damien Kenny, Kevin P Walsh
© 2021 Meta ULC. All rights reserved