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  1. Article ; Online: Endocardial pacemaker implantation in neonates and infants.

    Ayabakan, Canan / Rosenthal, Eric

    Indian pacing and electrophysiology journal

    2006  Volume 6, Issue 2, Page(s) 57–62

    Abstract: ... that endocardial pacing too can be performed with low morbidity and good long-term results in neonates and infants. ... with a very low morbidity. In children, and especially in neonates and infants, the epicardial route was ... is an incidence of venous occlusion of the smaller veins of neonates and infants with concerns ...

    Abstract 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.
    Language English
    Publishing date 2006-04-01
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 2123606-9
    ISSN 0972-6292 ; 0972-6292
    ISSN (online) 0972-6292
    ISSN 0972-6292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Endocardial Pacemaker Implantation in Neonates and Infants

    Canan Ayabakan / Eric Rosenthal

    Indian Pacing and Electrophysiology Journal, Vol 6, Iss 2, Pp 57-

    2006  Volume 62

    Abstract: ... that endocardial pacing too can be performed with low morbidity and good long-term results in neonates and infants. ... with a very low morbidity. In children, and especially in neonates and infants, the epicardial route was ... is an incidence of venous occlusion of the smaller veins of neonates and infants with concerns ...

    Abstract 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.
    Keywords Pacemaker ; Endocardial pacing ; Epicardial pacing ; Lead extraction ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences ; Physiology ; QP1-981 ; Science ; Q ; DOAJ:Physiology ; DOAJ:Biology ; DOAJ:Biology and Life Sciences
    Subject code 610
    Language English
    Publishing date 2006-04-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Single-centre experience on endocardial and epicardial pacemaker system function in neonates and infants.

    Silvetti, Massimo Stefano / Drago, Fabrizio / De Santis, Antonella / Grutter, Giorgia / Ravà, Lucilla / Monti, Lidia / Fruhwirth, Rodolfo

    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

    2007  Volume 9, Issue 6, Page(s) 426–431

    Abstract: ... for PM implantation in infants. However, because of small patient numbers and lack of longer FU ... of children pacemaker (PM) implantation at our centre with a retrospective analysis ... Aims: Endocardial (ENDO) or epicardial (EPI) pacing systems are implanted in infants ...

    Abstract Aims: Endocardial (ENDO) or epicardial (EPI) pacing systems are implanted in infants but it remains unclear which system should be preferred.
    Methods and results: We evaluated the results of children <or=1 year who underwent <mark>pacemaker (PM) implantation at our centre with a retrospective analysis. Between 1992 and 2004, 56 patients, 37 of whom had other congenital heart defects (CHDs), received a PM at 4.4 +/- 3.8 months of age for atrioventricular block (n = 52) and sinus node dysfunction. Rate-responsive ventricular demand pacing (VVIR) PMs were implanted in 25 patients (19 ENDO), dual-chamber demand pacing (DDD) in 29, and rate-responsive atrial demand pacing (AAIR) in 2 (all EPI). Follow-up (FU) was 4.5 +/- 3.5 (range 0.3-13) years: 15 pacing system failures occurred among the 56 patients (26%) after 4.5 +/- 3.2 years, with a significantly reduced success rate for EPI (21-fold increase of the risk of failure) and complex CHD. Also in patients without surgery for CHD, EPI showed a worse outcome. Among the 91 leads implanted, failures occurred more significantly in EPI (18% of atrial, 24% of ventricular leads) than in ENDO (5% of ventricular leads). No venous occlusion was found at FU.
    Conclusions: Single-lead, VVIR ENDO pacing had higher efficiency and safety than EPI, and it might be the best choice for PM implantation in infants. However, because of small patient numbers and lack of longer FU, these findings should be treated with caution.
    MeSH term(s) Cardiac Pacing, Artificial/methods ; Electrocardiography ; Endocardium ; Female ; Heart Defects, Congenital/physiopathology ; Heart Defects, Congenital/therapy ; Humans ; Infant ; Infant, Newborn ; Male ; Pacemaker, Artificial ; Proportional Hazards Models ; Prosthesis Design ; Prosthesis Failure ; Retrospective Studies ; Statistics, Nonparametric ; Treatment Outcome
    Language English
    Publishing date 2007-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/eum043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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