Long-term outcome of transvenous pacemaker implantation in infants: a retrospective cohort study

In theEuropace April 2017 issue, Voset al.1 reported long-term follow-up of infants and neonates receiving transvenous pacemaker systems. From their seven patients, they derived the conclusion that epicardial pacing should be favoured in this age group. The authors have to be congratulated on reporting these honest results. Their 15-year long-term follow-up is remarkable. From this long follow-up, we see terrible foreseeable and preventable problems occurring. Authors underlined that as most complications occurred only late in follow-up, most complications might not have been seen yet. One can easily imagine that lifespan follow-up will create even worse outcomes. To emphasize the message of this article, lessons learned from lead extraction and atrioventricular valve insufficiency must be put forward.

Source: Europace - October 11, 2017 Category: Cardiology Source Type: research