Key result
Leadless pacemakers achieve complete procedural success in low-weight children with a ~9% serious complication rate.
Why the study?
Transvenous and epicardial pacing in children carries significant risks of lead failure and infection, whereas leadless pacing offers an alternative with lower risks of infection and lead failure and longer battery longevity.
Is leadless pacemaker implantation safe and successful in pre-adolescent patients weighing less than 30 kg?
Systematic Review (n=22)
Is leadless pacemaker implantation safe and successful in pre-adolescent patients weighing less than 30 kg?
Leadless pacing is being evaluated as a potentially safer alternative to transvenous and epicardial pacing in pre-adolescent patients weighing under 30 kg.
No takes yet. Share an insight, caveat, or question.
May offer safer alternative to transvenous/epicardial pacing in pre-adolescents <30 kg; extends limited evidence but remains hypothesis-generating pending prospective trials.
Transvenous and epicardial pacing in children carries significant risks of lead failure and infection. Leadless pacing is an alternative with lower risks of infection, lead failure, and longer battery longevity. A retrievable leadless pacemaker was implanted in an 8-year-old, 24 kg patient with heart block. A systematic review evaluated procedural success and the safety of leadless pacemakers in preadolescents weighing less than 30 kg.
Kojodjojo et al. (2026) conducted a systematic review in Heart block or bradycardia (n=22). Leadless pacemaker was evaluated on Acute procedural success. Leadless pacemaker implantation in pre-adolescent patients weighing less than 30 kg achieved 100% acute procedural success with a 9.0% rate of serious complications.
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