Key result
Novel technique to reposition 4.1 Fr lumenless leads safely generates intracardiac loops for rapid pediatric growth.
Describes a novel technique to manage lead tension due to rapid body growth in pediatric patients with selective site pacing.
May aid pediatric lead repositioning without extraction; leaves open durability and safety in larger cohorts.
In children, intracardiac loops are created to avoid a lead's fracture due to rapid body growth. Selective site pacing needs the insertion of two 4.1 Fr lumenless leads that do not allow direct manoeuvrability and should be extracted when tension on the lead occurs. We describe an easy, safe, and inexpensive technique to reposition the leads and generate new intracardiac loops.
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Gabbarini et al. (2011) studied this question. A newly described technique for repositioning 4.1 Fr lumenless leads safely and inexpensively generates new intracardiac loops to accommodate rapid body growth in pediatric patients.
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