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Absorbable suture technique: solution to the growth problem in pediatric pacing with endocardial leads
P Stojanov1, D Velimirović, V Hrnjak
1Pacemaker Center, Institute for Cardiovascular Diseases, CCS, Belgrade, Yugoslavia.
Pacing and Clinical Electrophysiology : PACE
|February 25, 1998
Summary
Pediatric endocardial pacing utilizes resorbable sutures for lead fixation, enabling natural lead migration in growing children. This method successfully avoided the need for lead length adjustments during long-term follow-up.
Area of Science:
- Pediatric Cardiology
- Biomedical Engineering
- Implantable Devices
Background:
- Congenital heart disease necessitates pacing in pediatric patients.
- Traditional pacing systems require lead length adjustments as children grow, increasing reintervention rates.
- Developing novel pacing strategies is crucial for long-term pediatric cardiac care.
Purpose of the Study:
- To evaluate the efficacy of endocardial pacing with resorbable sutures in pediatric patients.
- To assess the need for lead length adjustment in growing children using this technique.
- To determine the long-term safety and effectiveness of this pacing method.
Main Methods:
- Implantation of endocardial pacing systems in 15 children (mean age 37 months).
- Fixation of endocardial leads using slowly resorbable sutures (Dexon).
- Monitoring lead migration and patient outcomes over a mean follow-up of 61 months.
Main Results:
- No patients required reintervention for lead length correction.
- Spontaneous lead migration was observed, accommodating patient growth.
- Successful pacing was maintained throughout the follow-up period.
Conclusions:
- Endocardial pacing with resorbable sutures is a viable strategy for pediatric patients.
- This technique facilitates natural lead adaptation to growth, reducing the need for surgical revisions.
- It offers a promising approach for long-term pacing management in children.
