Does endocardial lead fixation with slowly resorbable suture prevent the need for reintervention for lead lengthening in pediatric patients?
The use of slowly resorbable sutures for endocardial lead fixation in pediatric patients allows for spontaneous lead migration during growth, effectively eliminating the need for lead lengthening reinterventions over a mean 5-year follow-up.
Endocardial pacing system implantation has been performed in 15 children of mean age 37 months (ranging from 1 day to 89 months). Endocardial lead fixation was performed by means of slowly resorbable suture (Dexon) to allow spontaneous lead migration as the child grows. During a mean follow-up period of 61 months (range 17-108 months), none of the patients needed reintervention for correcting the lead length to allow growth.
Stojanov et al. (1998) studied this question.