STOJANOV, P., FT AL.: Absorbable Suture Technique: Solution to the Growth Problem in Pediatric Pacing with Endocardial Leads. Endocardia! pacing system implantation ims heen performed in 15 chiidren of mean age 37months (ranging from t day to 89 months). Endocardial lead fixation was performed by means of slowly resorhable suture (Dexon) to allow spontaneous lead migration as the child grows. During a mean follow-up period of 61 months (range 17-108 months), none of the patients needed reintervention for correcting the lead length to allow growth. (PACE 1998; 2l[Pt. I}:65-68} children pacing, endovenous lead, growth, resorbable suture
Permanent endovenous pacing is a feasible procedure, even in children of body weight less than 10 kg, with quite acceptable impact on venous system patency.
Implantation of the endovenous leads by preparation of the cephalic or puncture of the axillary vein, with lead fixation by resorbable suture represents a method of choice.
The increased BNP levels can be valuable for early screening of patients with higher risk of heart failure. In patients with increased BNP at the time of pacemaker implantation, DDD pacing is a modality of choice.
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