Abstract:
:We aimed to investigate the complications after epicardial pacemaker (PM) implantation in neonates and infants and their relationship with factors such as device size and patient size. Between May 2010 and July 2018, 55 patients under 1 year of age who underwent epicardial PM placement were retrospectively evaluated. PM-related complications requiring rehospitalization were determined as wound site problems requiring surgical intervention, battery pocket infection, battery pocket dehiscence without infection, PM removal, relocation of the PM system, and replacement of the PM system with another system. The patients were divided into three groups: < 3 kg, 3-5 kg and > 5 kg. Fifty-five patients underwent PM implantation, 43 (78.2%) because of postoperative atrioventricular block (AVB), 10 (18.2%) because of congenital AVB, and two (3.6%) with diagnoses of c-TGA and AVB. Five (9%) patients incurred 18 complications. No statistically significant difference was observed in complication development between the groups (p > 0.05). Single- or dual-chamber device implantation did not affect complication development (p > 0.05). Despite the role of factors such as low weight, low age, and device volume in the development of wound complications, the relationship between these factors and complications is not statistically significant. Therefore, our results are encouraging in terms of the use of dual-chamber PMs instead of single-chamber ones in heart diseases in which AV synchronization is important.
journal_name
Pediatr Cardioljournal_title
Pediatric cardiologyauthors
Ergün S,Kafalı HC,Genç SB,Yildiz O,Güneş M,Onan İS,Ergül Y,Güzeltaş A,Haydin Sdoi
10.1007/s00246-020-02306-1subject
Has Abstractpub_date
2020-04-01 00:00:00pages
755-763issue
4eissn
0172-0643issn
1432-1971pii
10.1007/s00246-020-02306-1journal_volume
41pub_type
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