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[Complications and sequelae of cardiac electrostimulation in children. Our experience with 47 children]

G Vignati1, L Mauri, M Lunati

  • 1Dipartimento Cardiologico de Gasperis, Ospedale Maggiore Niguarda, Milano.

Giornale Italiano Di Cardiologia
|April 1, 1992
PubMed

Insights

Pediatric cardiac pacing is feasible, but long-term results show significant morbidity. Epicardial pacing in children had higher revision rates than transvenous, highlighting the need for careful consideration of pacing methods.

Area of Science:

  • Pediatric Cardiology
  • Biomedical Engineering
  • Implantable Devices

Context:

  • Permanent cardiac pacing is increasingly common in pediatric populations, including infants.
  • However, comprehensive data on the long-term outcomes and associated complications in children remain limited.

Purpose:

  • To analyze the institutional experience with permanent pacemaker implantation in pediatric patients.
  • To determine the morbidity and identify factors influencing the need for pacemaker revisions in children.

Summary:

  • This study reviewed 47 pediatric patients (mean age 8.3 years) who underwent pacemaker implantation over 10 years.
  • Common indications included atrioventricular block and sick sinus syndrome.
  • Twelve patients (29%) required 19 revisions, with lead fracture, rising thresholds, growth issues, and infection being primary causes. Epicardial pacing showed higher revision rates (52%) compared to transvenous (22%).

Impact:

  • Findings underscore the feasibility of pediatric cardiac pacing while emphasizing the substantial long-term morbidity.
  • The data suggest a higher complication rate with epicardial compared to transvenous lead implantation in children.
  • This highlights the importance of device selection and surgical approach for optimizing long-term outcomes in pediatric pacing.

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