Skip Navigation


Europace Advance Access originally published online on March 5, 2009
Europace 2009 11(5):601-606; doi:10.1093/europace/eup058
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
11/5/601    most recent
eup058v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Related articles in Europace
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Cantù, F.
Right arrow Articles by Gavazzi, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cantù, F.
Right arrow Articles by Gavazzi, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Pacing and CRT

Selective-site pacing in paediatric patients: a new application of the Select Secure system

Francesco Cantù1,*, Paolo De Filippo1, Fulvio Gabbarini2, Adele Borghi1, Roberta Brambilla1, Paolo Ferrero1, Jennifer Comisso3, Tiziana Marotta3, Alessandro De Luca3 and Antonello Gavazzi1

1 Electrophysiology, Cardiovascular Department, Ospedali Riuniti di Bergamo, Largo Barozzi 1, 24128 Bergamo, Italy; 2 Regina Margherita Children’s Hospital, Turin, Italy; 3 Medtronic Italia Spa, Milan, Italy

Aims: The aim of this study was to evaluate the feasibility and reliability of selective-site pacing by means of a new lead system in a paediatric population. This lead system is composed of a 4.1 Fr, active-fixation lead and a steerable catheter that allows easy positioning in selective sites.

Methods and results: Thirty young patients (mean age 9.0 ± 4.5 years, range 2–16 years) received a single- (10) or dual- (20) chamber pacemaker. The 3830 lead was implanted successfully in the targeted chambers in all patients. The selective RV sites of pacing in 26 of the patients were: 18 mid-septum, 5 outflow tract, 1 low-septum, and 2 LEVO-RV-Apex. In all patients, an intracardiac loop was left in order to avoid stretching of the lead with growth. Mean follow-up duration was 11 ± 10 months. Atrial sensing and pacing thresholds were 3.2 ± 1.7 mV and 0.8 ± 0.6 V at 0.5 ms at implantation and 3.4 ± 2.1 mV and 0.6 ± 0.3 V at 0.5 ms at follow-up. Ventricular sensing and pacing thresholds were 12.1 ± 4.9 and 0.7 ± 0.4 V at 0.5 ms on implantation and 12.7 ± 6.1 mV and 0.8 ± 0.5 V at 0.5 ms at follow-up (P = NS). No adverse events were reported.

Conclusion: Select Secure is a promising system for selective-site pacing in children.

Key Words: Selective, Pacing, Paediatric, New, Lead

* Corresponding author. Tel: +39 035 266594, Fax: +39 035 266826, Email: fcantu{at}ospedaliriuniti.bergamo.it

Manuscript submitted 19 December 2008. Accepted after revision 10 February 2009.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?

Related articles in Europace:

Selective site pacing in paediatric patients—technology or function?
Michael Gammage
Europace 2009 11: 542-543. [Full Text]  



This article has been cited by other articles:


Home page
 EuropaceHome page
M. Gammage
Selective site pacing in paediatric patients--technology or function?
Europace, May 1, 2009; 11(5): 542 - 543.
[Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.