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April 1, 2000European Journal of Cardio-Thoracic SurgeryOpen Access

Twenty years experience with pediatric pacing: epicardial and transvenous stimulation

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Why the study?

Does transvenous pacing compared to epicardial pacing improve stimulation thresholds and reduce lead-related complications in pediatric patients requiring permanent pacemakers?

Population

71 children and adolescents who underwent permanent pacemaker implantation for sinus node dysfunction and…

Comparison

Transvenous pacing (n=22) vs Epicardial pacing (n=49)

Design

Cohort

Follow-up

3.4+/-3.8 years and 3.0+/-4.0 years

Authors

JSJörg S. Sachweh

Discussion

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Overview

May favor transvenous over epicardial leads when feasible in children; leaves open need for randomized confirmation of long-term outcomes.

Structured PICO

Does transvenous pacing compared to epicardial pacing improve stimulation thresholds and reduce lead-related complications in pediatric patients requiring permanent pacemakers?

P
Population
71 children and adolescents (mean age 5.3+/-4.2 years, range 1 day-16.2 years; mean body weight 18+/-12 kg) who underwent permanent pacemaker implantation for sinus node dysfunction and atrio-ventricular block following surgery for congenital heart disease (69%) or congenital atrioventricular block (31%).
I
Intervention
Transvenous pacing (n=22)
C
Comparator
Epicardial pacing (n=49)
O
Outcome
Operative and postoperative data including stimulation thresholds and lead-related reoperationssafety

Transvenous pacing in pediatric patients offers lower acute stimulation thresholds and fewer lead-related complications compared to epicardial pacing, though steroid-eluting epicardial leads may be a viable alternative when transvenous access is not possible.

Cite This Study

Jörg S. Sachweh (2000) studied this question.

synapsesocial.com/papers/6a7150bace524a4339c4e0d8https://doi.org/10.1016/s1010-7940(00)00364-x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Permanent epicardial pacing in children: long-term results and factors modifying outcome2011 · 64 citations
  2. 2Permanent Epicardial and Transvenous Single- and Dual-Chamber Cardiac Pacing in Children1993 · 26 citations
  3. 3Thirty years of experience with epicardial pacing in children2004 · 29 citations
  4. 4Transvenous pacing leads implanted in epicardial position: A recipe for future epicardial pacing electrode?2025 · 1 citations
  5. 5Permanent epicardial pacing : a first line strategy in children2024