Complications of permanent pacing in children depending on the method of implantation

Background. Currently pacing is the only treatment option for life-threatening bradyarrhythmias. Considering specific factors of pediatric patients, specialists in this field should be highly professional. Aim. To present experience and retrospective analysis complications permanent children adolescents from Tomsk National Research Medical Center. Material Methods. Complications with structurally normal heart congenital defects were analyzed. The follow-up was 1999 to 2021 years. 256 patients aged 1 month 18 years participated study. Epicardial pacemaker implanted 173 children, endocardial – 83 patients. Average time primary implantation 2.1 ± 2.7 Results. Hemodynamic are most common among epicardial pacing. associated intraventricular dissynchrony due stimulation area lateral wall or right ventricular outflow tract. In hemodynamic development pacemaker-induced cardiomyopathy ventricle apex tricuspid regurgitation. such as bacterial endocarditis, infection its bed, hemopericardium, subclavian vein occlusion, pericarditis, peacemaker dislocation lead fracture less common. Two cases cardiac strangulation detected. Conclusion. Neither nor guarantee absence complications. Implantation electrode on left (epicardial system), His bundle (endocardial prevents rational use a system. Such approach allows veins preserved at an older age.