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New site for pacemaker generators in children.

S Nikol1, C Minale, W Engelhardt

  • 1Department of Thoracic and Cardiovascular Surgery, RWTH Aachen, FRG.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1990
PubMed
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Bipolar pacemaker implantation was successfully performed in three pediatric patients. This novel surgical technique for pacemaker placement in children demonstrated no complications, highlighting its safety and efficacy.

Area of Science:

  • Pediatric cardiology
  • Cardiovascular surgery
  • Biomedical engineering

Background:

  • Pacemaker implantation in children presents unique surgical challenges.
  • Minimally invasive techniques are sought to reduce morbidity in pediatric patients.

Purpose of the Study:

  • To describe a novel surgical technique for bipolar pacemaker implantation in children.
  • To evaluate the safety and feasibility of this implantation method.

Main Methods:

  • Bipolar pacemaker implantation in three children (ages 5, 6, 9).
  • Epimyocardial fishhook pacing electrodes inserted via separate incisions.
  • Generator pocket created using rib periosteum/perichondrium and chest wall muscles.
  • Extrapleural lead placement and generator connection.

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Main Results:

  • Successful implantation in all three pediatric patients.
  • No perioperative or late postoperative complications were observed.
  • The described technique proved feasible and safe in this small cohort.

Conclusions:

  • This surgical approach for bipolar pacemaker implantation is safe and effective in children.
  • The technique minimizes invasiveness and avoids complications.
  • Further studies can validate this method in a larger pediatric population.