Do endocardial pacing systems improve long-term results compared to epicardial systems in paediatric patients with congenital heart defects?
In pediatric patients with congenital heart defects, endocardial pacing systems provide significantly better long-term results than epicardial systems, though younger age at implantation increases complication risk.
Cardiac pacing in paediatric patients with CHD shows satisfactory results in the long term. Endocardial systems show significantly better results than Epi systems. A younger age when implanted is a risk factor for complications at follow-up.
Silvetti et al. (Sun,) studied this question.