Single pass lead VDD pacing system in children and adolescents

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dc.authorid6842en_US
dc.authorid113274en_US
dc.authorid169177en_US
dc.contributor.authorÇeliker, Alpay
dc.contributor.authorKarakurt, Cemşit
dc.contributor.authorKaragöz, Tevfik
dc.date.accessioned2018-01-30T05:16:37Z
dc.date.available2018-01-30T05:16:37Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.descriptionActa Cardiologicaen_US
dc.description.abstractThe dual-chamber pacing systems allow for AV synchrony, but generally require the placement of two separate transvenous leads. Single-lead atrioventricular synchronous pacing system (VDD) using single-pass leads has been accepted as therapeutic alternative for atrioventricular block with normal sinus node function. The aim of this study is to evaluate clinical performance of single-pass lead VDD pacing systems in 24 consecutive patients in a ten-year period.The study group includes 17 (70.8%) male and 7 (28.8%) female patients. The mean age and mean weight during pacemaker implantation was 10.4±3.8 years (4-17 years) and 30±11kg (13.5-55kg), respectively. The patients have been followed for 7-84 months (median 42months). The percentage of atrial sensing-ventricular pacing changed from 75 to 99.9% at the last control. During the follow-up period,pacing mode was changed to VVIR due to complete loss of AV synchrony in five patients (21%). Four of them had underlying cardiac disease. In these patients loss of AV synchrony might be related to cardiac enlargement/abnormal cardiac anatomy or small atrial dipole-ventricular tip length. Despite the loss of AV synchrony in post surgical AV block or dilated cardiomyopathy, single-lead VDD pacing systems can be successfully used in children with complete AV block and normal sinus node function. Patients and lead selection should be taken into consideration for the maintenance of AV synchrony.en_US
dc.identifier.citationÇelıker, A., Karakurt, C., Karagöz, T. (2006). Single pass lead VDD pacing system in children and adolescents. Acta Cardiologica.en_US
dc.identifier.doi10.2143/AC.61.1.2005141en_US
dc.identifier.endpage0en_US
dc.identifier.issue0en_US
dc.identifier.startpage0en_US
dc.identifier.urihttp://poj.peeters-leuven.be/content.php?url=article&id=2005141&journal_code=AC
dc.identifier.urihttps://hdl.handle.net/11616/8027
dc.identifier.volume0en_US
dc.language.isoenen_US
dc.publisherActa Cardiologicaen_US
dc.relation.ispartofActa Cardiologicaen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleSingle pass lead VDD pacing system in children and adolescentsen_US
dc.typeArticleen_US

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