Till J A, Jones S, Rowland E, Shinebourne E A, Ward D E
Department of Paediatric Cardiology, Royal Brompton and National Heart Hospital, London, United Kingdom.
Pacing Clin Electrophysiol. 1990 Nov;13(11 Pt 1):1385-92. doi: 10.1111/j.1540-8159.1990.tb04013.x.
Twenty-four children 15 kg or less in weight (range 2.8-15 kg) underwent implantation of a permanent pacemaker using the transvenous technique of lead placement. During a follow-up period of 2 months to 6 years 1 month (median 3 years 6 months) eight children suffered complications, six of which necessitated reoperation. These included: lead fracture in two, infection in two, transient myocardial dysfunction in one, generator migration in one, premature battery depletion in one, and threshold rise in one. A loop of redundant ventricular lead positioned in the atrium at the time of implant is successfully unravelling in all children. One child died during the follow-up period of a pneumonia unrelated to her pacemaker. The other children are growing and developing normally and the cosmetic appearance has proved acceptable in all cases.
24名体重15千克及以下（范围为2.8 - 15千克）的儿童采用经静脉导线置入技术植入了永久性起搏器。在2个月至6年1个月的随访期（中位时间为3年6个月）内，8名儿童出现并发症，其中6例需要再次手术。这些并发症包括：导线断裂2例、感染2例、短暂性心肌功能障碍1例、起搏器发生器移位1例、电池过早耗尽1例以及阈值升高1例。植入时位于心房的多余心室导线环在所有儿童中均成功解开。1名儿童在随访期间死于与起搏器无关的肺炎。其他儿童生长发育正常，且所有病例的外观均被证明可接受。
