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Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group.

Publication ,  Journal Article
Udink ten Cate, F; Breur, J; Boramanand, N; Crosson, J; Friedman, A; Brenner, J; Meijboom, E; Sreeram, N
Published in: Heart
October 2002

AIM: To compare the performance of steroid eluting epicardial and endocardial leads in infants and children requiring permanent pacing. METHODS: Evaluation of pacing and sensing characteristics, impedances, and longevity of 159 steroid eluting leads implanted in 95 children. Group A consisted of 24 children weighing less than 15 kg with 15 endocardial leads (five atrial, 10 ventricular) and 19 epicardial leads (five atrial, 14 ventricular). Group B consisted of 71 children weighing more than 15 kg with 106 endocardial leads (56 atrial, 58 ventricular) and 19 epicardial leads (nine atrial, 10 ventricular). RESULTS: Group A: Stimulation thresholds were lower for ventricular endocardial leads at implant (mean (SD) 0.84 (0.54) v 1.59 (0.64) V, p < 0.014) and at two year follow up (ventricular 0.64 (0.24) v 1.65 (0.69) V, p < 0.003). Impedance and sensing thresholds did not differ significantly at implant and follow up. Group B: Stimulation thresholds were lower for ventricular endocardial leads at implant (0.72 (0.48) v 1.48 (0.58) V, p < 0.001) and at follow up (0.88 (0.46) v 1.55 (0.96) V, p < 0.009). Impedance did not differ. Sensing thresholds were also better for ventricular endocardial leads at follow up (9.1 (5.2) v 14.2 (6.4) mV, p < 0.02). Complications requiring intervention occurred in both groups (n = 7 for endocardial v n = 18 for epicardial leads). CONCLUSIONS: Endocardial and epicardial steroid eluting leads have comparable performance in the paediatric population.

Duke Scholars

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Published In

Heart

DOI

EISSN

1468-201X

Publication Date

October 2002

Volume

88

Issue

4

Start / End Page

392 / 396

Location

England

Related Subject Headings

  • Steroids
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Heart Block
  • Follow-Up Studies
  • Female
  • Cardiovascular System & Hematology
  • Cardiography, Impedance
 

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Udink ten Cate, F., Breur, J., Boramanand, N., Crosson, J., Friedman, A., Brenner, J., … Sreeram, N. (2002). Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group. Heart, 88(4), 392–396. https://doi.org/10.1136/heart.88.4.392
Udink ten Cate, F., J. Breur, N. Boramanand, J. Crosson, A. Friedman, J. Brenner, E. Meijboom, and N. Sreeram. “Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group.Heart 88, no. 4 (October 2002): 392–96. https://doi.org/10.1136/heart.88.4.392.
Udink ten Cate F, Breur J, Boramanand N, Crosson J, Friedman A, Brenner J, et al. Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group. Heart. 2002 Oct;88(4):392–6.
Udink ten Cate, F., et al. “Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group.Heart, vol. 88, no. 4, Oct. 2002, pp. 392–96. Pubmed, doi:10.1136/heart.88.4.392.
Udink ten Cate F, Breur J, Boramanand N, Crosson J, Friedman A, Brenner J, Meijboom E, Sreeram N. Endocardial and epicardial steroid lead pacing in the neonatal and paediatric age group. Heart. 2002 Oct;88(4):392–396.

Published In

Heart

DOI

EISSN

1468-201X

Publication Date

October 2002

Volume

88

Issue

4

Start / End Page

392 / 396

Location

England

Related Subject Headings

  • Steroids
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Heart Block
  • Follow-Up Studies
  • Female
  • Cardiovascular System & Hematology
  • Cardiography, Impedance