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[Pacemakers in children].

A Pavie, F L Leca-Chétochine, G Lemoine

    Archives Des Maladies Du Coeur Et Des Vaisseaux
    |September 1, 1977
    PubMed
    Summary
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    This study analyzes pacemaker implantation in 32 children, highlighting the importance of careful surgical technique and appropriate device selection for pediatric patients with congenital or post-operative heart block. Proper implantation minimizes complications like infection and device failure.

    Area of Science:

    • Pediatric Cardiology
    • Biomedical Engineering
    • Cardiac Electrophysiology

    Context:

    • Permanent pacemaker implantation in pediatric patients is crucial for managing congenital and post-operative heart block.
    • A total of 69 pacemaker implantations were performed in 32 children, with varying indications.
    • Understanding the challenges and best practices in pediatric pacemaker management is essential.

    Purpose:

    • To review the results of pacemaker implantation in a pediatric cohort.
    • To discuss the indications for pacemakers in congenital and post-operative heart block.
    • To evaluate the essential features of pacemakers for children, including convenience, longevity, and rate-responsive capabilities.

    Summary:

    • The study involved 32 children receiving 69 permanent pacemakers for congenital (7) and post-operative (25) heart block.

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  • Key considerations for pacemaker selection include minimal inconvenience, long active life, and rate-adaptive function.
  • Meticulous implantation techniques, including asepsis and proper electrode testing, are vital to prevent infection and pacemaker failure.

    • Impact:

    • Highlights the critical role of surgical precision and device selection in pediatric pacemaker outcomes.
    • Provides insights into optimizing pacemaker therapy for children, reducing complications and improving quality of life.
    • Informs clinical practice regarding the preferred implantation routes (epigastric or thoracotomy) based on patient age and condition.