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[Pacemaker therapy in children].

G Brüggemann¹, E Steil, H Barth

¹Abt. f. pädiatrische Kardiologie der Univ.-Kinderklinik Tübingen.

Klinische Padiatrie

|September 1, 1988

Summary

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Pediatric patients receiving permanent pacemaker (PM) implants showed a significant increase in the interval between revisions over time. This improvement is attributed to the predominant use of epicardial leads in pacemaker procedures for children.

Area of Science:

Pediatric Cardiology
Biomedical Engineering
Electrophysiology

Context:

Study period: 1975-1987, involving 55 pediatric patients.
Age range at implantation: 1 month to 17.5 years (mean 5.4 years).
Pacemaker type: VVI-PM exclusively implanted.

Purpose:

To evaluate the long-term outcomes and revision rates of permanent pacemaker (PM) implantation in pediatric patients.
To assess the impact of lead type (epicardial vs. transvenous) on PM revision frequency.
To analyze trends in revision intervals over the study period.

Summary:

84% of implantations were for post-surgical bradyarrhythmia; 16% for congenital or acquired conduction system disturbances.
A total of 20 revisions were performed across 14 children over 2603 months of follow-up.

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Electrode failure was the cause in 50% of revisions; however, the mean interval between revisions increased significantly to 130 months.

Impact:

The study highlights a significant improvement in pacemaker reliability in pediatric patients over time.
The exclusive use of epicardial screw-in electrodes is strongly associated with a lower incidence of revisions.
Findings support the use of epicardial leads for long-term pacemaker function in pediatric populations.