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Permanent endocardial pacing by cephalic vein access in new-borns and infants--surgical techniques
P Stojanov1, D Velimirovic, M Zivkovic
1Pacemaker Center, Institute for Cardiovascular Diseases Clinical Center of Serbia, Koste Todorovica 8, 11000, Belgrade, Yugoslavia.
Abstract:
Most centers worldwide use permanent endovenous cardiac electrostimulation in children requiring pacing whose body mass is over 10kg. The normal implantation route is via a subclavian vein puncture. In our Center, we have implanted permanent endovenous pacing systems for complete AV block in nine children with a mean body mass 7.4kg (range 2.45-10kg). The endovenous lead was placed using cephalic vein cutdown procedure. To allow 'sliding' during the child's growth, the lead was secured by absorbable sutures.
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