Endocardial pacemaker implantation in neonates and infants

Ayabakan, Canan and Rosenthal, Eric (2005) Endocardial pacemaker implantation in neonates and infants. Indian Pacing and Electrophysiology Journal, 6 (2). pp. 57-62. ISSN 0972-6292

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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.

EPrint Type:Article
Uncontrolled Keywords:Pacemaker; Endocardial pacing; Epicardial pacing; Lead extraction
Subjects:Persons > Age Groups > Infant
Therapeutics > Cardiac Pacing, Artificial
Pathological Conditions, Signs and Symptoms > Pathologic Processes > Arrhythmia
ID Code:1446
Deposited By:Indian Pacing and Electrophysiology Journal
Deposited On:29 March 2006

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