Introduction: A number of challenges can affect long-term performance of endocardial implanted systems in pediatric patients. Select Secure™ lead offers potential advantages for this population. This analysis aims to evaluate long-term performance of this lead in children, with and without congenital heart disease. Methods: A retrospective analysis of all patients younger than 16 years, implanted with at least one Select Secure™ lead at our institution, was performed. Clinical patient characteristics, electrical lead parameters, implant related complications, occurrence of surgical revisions and other complications were analyzed. Results: From 2006 to 2016, 40 pediatric patients (26 males; age: 10.3 ± 4.6 years) underwent a cardiac device implantation with at least one Select Secure™ lead. Axillary vein access was chosen in 77.5% of the procedures. The intra-atrial loop of the leads was successfully created and the generator was placed in a sub-pectoral pocket in all patients. A total of 57 Select Secure™ leads were implanted: 23 in the right atrium and 34 in the right ventricle. PM/ICDs implantation was uneventful in all 40 patients. One lead, dislodged the day after implantation, was successfully extracted and replaced in the same day. Adequate pacing parameters were achieved during a follow-up of 6 ± 2.9 years (range 0.9–10.8 years). Conclusions: In a pediatric population, the Select Secure™ lead used in the axillary vein, the creation of an intra-atrial loop and the placement of the generator in a sub-pectoral pocket ensured a safe implantation of pacemaker or ICD and an effective stimulation at medium-term follow-up.

De Filippo, P., Giofrè, F., Leidi, C., Senni, M., Ferrari, P. (2018). Transvenous pacing in pediatric patients with bipolar lumenless lead: Ten-year clinical experience. INTERNATIONAL JOURNAL OF CARDIOLOGY, 255, 45-49 [10.1016/j.ijcard.2018.01.007].

Transvenous pacing in pediatric patients with bipolar lumenless lead: Ten-year clinical experience

Senni M;
2018

Abstract

Introduction: A number of challenges can affect long-term performance of endocardial implanted systems in pediatric patients. Select Secure™ lead offers potential advantages for this population. This analysis aims to evaluate long-term performance of this lead in children, with and without congenital heart disease. Methods: A retrospective analysis of all patients younger than 16 years, implanted with at least one Select Secure™ lead at our institution, was performed. Clinical patient characteristics, electrical lead parameters, implant related complications, occurrence of surgical revisions and other complications were analyzed. Results: From 2006 to 2016, 40 pediatric patients (26 males; age: 10.3 ± 4.6 years) underwent a cardiac device implantation with at least one Select Secure™ lead. Axillary vein access was chosen in 77.5% of the procedures. The intra-atrial loop of the leads was successfully created and the generator was placed in a sub-pectoral pocket in all patients. A total of 57 Select Secure™ leads were implanted: 23 in the right atrium and 34 in the right ventricle. PM/ICDs implantation was uneventful in all 40 patients. One lead, dislodged the day after implantation, was successfully extracted and replaced in the same day. Adequate pacing parameters were achieved during a follow-up of 6 ± 2.9 years (range 0.9–10.8 years). Conclusions: In a pediatric population, the Select Secure™ lead used in the axillary vein, the creation of an intra-atrial loop and the placement of the generator in a sub-pectoral pocket ensured a safe implantation of pacemaker or ICD and an effective stimulation at medium-term follow-up.
Articolo in rivista - Articolo scientifico
Adolescent; Axillary Vein; Cardiac Pacing, Artificial; Cardiovascular Diseases; Child; Child, Preschool; Defibrillators, Implantable; Female; Follow-Up Studies; Humans; Infant; Male; Retrospective Studies; Time Factors; Treatment Outcome;
English
45
49
5
De Filippo, P., Giofrè, F., Leidi, C., Senni, M., Ferrari, P. (2018). Transvenous pacing in pediatric patients with bipolar lumenless lead: Ten-year clinical experience. INTERNATIONAL JOURNAL OF CARDIOLOGY, 255, 45-49 [10.1016/j.ijcard.2018.01.007].
De Filippo, P; Giofrè, F; Leidi, C; Senni, M; Ferrari, P
File in questo prodotto:
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/372680
Citazioni
  • Scopus 4
  • ???jsp.display-item.citation.isi??? 4
Social impact