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Pediatric transvenous pacing: a concern for venous thrombosis?
P C Gillette1, V Zeigler, G B Bradham
1Medical University of South Carolina, South Carolina Children's Heart Center, Charleston 19425.
Pacing and Clinical Electrophysiology : PACE
|November 1, 1988
Summary
Transvenous pacing is a common pediatric cardiac pacing method. This study found no evidence of venous thrombosis or flow abnormalities in children who underwent transvenous pacing via subclavian vein puncture.
Area of Science:
- Pediatric Cardiology
- Vascular Surgery
- Biomedical Engineering
Background:
- Transvenous pacing is the preferred method for pediatric cardiac pacing.
- Concerns exist regarding potential occult venous thrombosis despite no reported clinical cases.
Purpose of the Study:
- To evaluate the incidence of venous thrombosis and subclavian vein flow abnormalities in pediatric patients with transvenous pacing leads.
Main Methods:
- Nineteen pediatric patients with transvenous pacing implants were assessed.
- Vascular assessments included venous plethysmography, Doppler ultrasound, and venous angiography.
- Leads were inserted via subclavian vein puncture.
Main Results:
- No instances of venous thrombosis were detected in any of the 19 patients.
- No significant narrowing (greater than 10%) of the subclavian vein diameter was observed.
- No disturbances in subclavian vein blood flow were identified.
Conclusions:
- Transvenous pacing in pediatric patients, using subclavian vein puncture, does not appear to cause venous thrombosis or significant venous flow abnormalities.
- The findings suggest that transvenous pacing is a safe method for pediatric cardiac pacing regarding venous complications.