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DOI: 10.1055/s-2002-33093
Steroid-Eluting and Fractally Coated Electrodes in Children with High Pacing Thresholds
Publikationsverlauf
Publikationsdatum:
07. August 2002 (online)
![](https://www.thieme-connect.de/media/thoracic/200204/lookinside/thumbnails/10.1055-s-2002-33093-1.jpg)
Abstract
High pacing thresholds in epicardially implanted leads are a frequent issue in children after cardiac surgery. In 2 infants, repeated revisions of non-steroid-eluting leads were necessary. To avoid further frequent replacements, two epicardial ventricular leads, one steroid-eluting and an additional fractally coated electrode as a pacing “backup” were connected to the atrial and ventricular outlet of a DDD pacemaker, allowing a comparison between two both electrodes. Showing no differences in long-term measurements, both electrodes seem to provide a comparably high level of safety.
Key words
Congenital cardiac defects - Epicardial pacing - Fractally coated electrode - Steroid-eluting electrode - Backup system
References
- 1 Bonatti V, Agnetti A, Squarcia U. Early and late postoperative complete heart block in pediatric patients submitted to open-heart surgery for congenital heart disease. Pediatr Med Chir. 1998; 20 (3) 181-186
- 2 Weindling S N, Saul J P, Gamble W J, Mayer J E, Wessel D, Walsh E P. Duration of complete atrioventricular block after congenital heart disease surgery. Am J Cardiol. 1998; 82 (4) 525-527
- 3 Serwer G A, Mericle J M, Armstrong B E. Epicardial ventricular pacemaker electrode longevity in children. Am J Cardiol. 1988; 61 104-106
- 4 Villafane J, Austin E. Cardiac pacing problems in infants and children: results of a 4-year prospective study. South Med J. 1993; 86 (7) 784-788
- 5 Cohen M I, Bush D M, Vetter V L, Tanel R E, Wieand T S, Gaynor J W, Rhodes L A. Permanent epicardial pacing in pediatric patients: seventeen years of experience and 1200 outpatient visits. Circulation. 2001; 103 (21) 2585-2590
- 6 Preston T A, Judge R D, Lucchesi B R, Bowers D L. Myocardial threshold in patients with artificial pacemakers. Am J Cardiol. 1966; 18 83-89
- 7 Hamilton R, Gow R, Bahoric B, Griffiths J, Freedom R, Williams W. Steroid-eluting epicardial leads in pediatrics: improved epicardial thresholds in the first year. PACE. 1991; 14 (2) 2066-2072
- 8 Fröhlig G, Bolz A, Strobel J, Rutz M, Lawall P, Schwerdt H, Schaldach M, Schieffer H. A fractally coated 1.3 mm2 high impedance pacing electrode. PACE. 1998; 21 1239-1246
Correspondence
Anil-Martin Sinha,MD, PhD
Medical Clinic I, University Hospital Aachen
Pauwelsstr. 30
52074 Aachen
Germany
Telefon: +49 (241) 808 98 34
Fax: +49 (241) 808 85 71
eMail: amsinha@ukaachen.de