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Statements

Subject Item
n2:RIV%2F00064203%3A_____%2F12%3A8009%21RIV13-MZ0-00064203
rdf:type
n4:Vysledek skos:Concept
rdfs:seeAlso
http://dx.doi.org/10.1093/europace/eur327
dcterms:description
All consecutive patients from one country (n 119, period 19772009) undergoing permanent epicardial pacemaker implantation at 18 years of age (median 1.8 years, inter-quartile range 0.36.4 years) were studied retrospectively. Median patient follow up was 6.4 years (inter-quartile range 2.911.1 years); 207 generators, 89 atrial and 153 ventricular pacing leads were implanted. The probability of absence of any pacing system dysfunction was 70.1 and 47.2 at 5 and 10 years after implantation, respectively. Overall probability of continued epicardial pacing was 92.8 and 76.1 at 5 and 10 years, respectively, and increased in the recent implantation era (post-2000, P 0.04). The use of steroid-eluting leads decreased the risk of exit block with a hazard ratio (HR) of 0.20 [95 confidence interval (CI) 0.090.44, P 0.001)]. The use of bipolar Medtronic 4968 leads reduced the risk of surgical reintervention because of fracture, insulation break, outgrowth or exit block in comparison to the unipolar 4965 lead design (HR 0.12, 95 CI 0.040.40, P 0.001). The AutoCapture feature (HR 0.08, 95 CI 0.020.36, P 0.001) and steroid-eluting leads (HR 0.30, 95 CI 0.110.84, P 0.021) decreased the risk of battery depletion. The probability of continued epicardial pacing in children was 76 at 10 years after implantation, increased for implantation in recent years, and allowed transvenous pacing to be deferred to a significantly greater age. The use of bipolar steroid-eluting leads and of a beat-to-beat capture tracking feature significantly increased pacing system longevity and decreased the need for surgical reinterventions. All consecutive patients from one country (n 119, period 19772009) undergoing permanent epicardial pacemaker implantation at 18 years of age (median 1.8 years, inter-quartile range 0.36.4 years) were studied retrospectively. Median patient follow up was 6.4 years (inter-quartile range 2.911.1 years); 207 generators, 89 atrial and 153 ventricular pacing leads were implanted. The probability of absence of any pacing system dysfunction was 70.1 and 47.2 at 5 and 10 years after implantation, respectively. Overall probability of continued epicardial pacing was 92.8 and 76.1 at 5 and 10 years, respectively, and increased in the recent implantation era (post-2000, P 0.04). The use of steroid-eluting leads decreased the risk of exit block with a hazard ratio (HR) of 0.20 [95 confidence interval (CI) 0.090.44, P 0.001)]. The use of bipolar Medtronic 4968 leads reduced the risk of surgical reintervention because of fracture, insulation break, outgrowth or exit block in comparison to the unipolar 4965 lead design (HR 0.12, 95 CI 0.040.40, P 0.001). The AutoCapture feature (HR 0.08, 95 CI 0.020.36, P 0.001) and steroid-eluting leads (HR 0.30, 95 CI 0.110.84, P 0.021) decreased the risk of battery depletion. The probability of continued epicardial pacing in children was 76 at 10 years after implantation, increased for implantation in recent years, and allowed transvenous pacing to be deferred to a significantly greater age. The use of bipolar steroid-eluting leads and of a beat-to-beat capture tracking feature significantly increased pacing system longevity and decreased the need for surgical reinterventions.
dcterms:title
Permanent epicardial pacing in children: long-term results and factors modifying outcome Permanent epicardial pacing in children: long-term results and factors modifying outcome
skos:prefLabel
Permanent epicardial pacing in children: long-term results and factors modifying outcome Permanent epicardial pacing in children: long-term results and factors modifying outcome
skos:notation
RIV/00064203:_____/12:8009!RIV13-MZ0-00064203
n4:predkladatel
n16:ico%3A00064203
n5:aktivita
n6:Z
n5:aktivity
Z(MZ0FNM2005)
n5:cisloPeriodika
4
n5:dodaniDat
n8:2013
n5:domaciTvurceVysledku
n11:6118658 n11:2104946 n11:2097095 n11:3600807 n11:1168851 n11:7633947
n5:druhVysledku
n15:J
n5:duvernostUdaju
n12:S
n5:entitaPredkladatele
n14:predkladatel
n5:idSjednocenehoVysledku
158269
n5:idVysledku
RIV/00064203:_____/12:8009
n5:jazykVysledku
n18:eng
n5:klicovaSlova
Pacing; Epicardial; Children; Atrioventricular block; Congenital heart disease; congenital heart-disease; dual-chamber; cardiac resynchronization; venous obstruction; pediatric-patients; young; leads; experience; pacemaker; site
n5:klicoveSlovo
n9:Pacing n9:young n9:pacemaker n9:Congenital%20heart%20disease n9:leads n9:venous%20obstruction n9:Atrioventricular%20block n9:cardiac%20resynchronization n9:pediatric-patients n9:congenital%20heart-disease n9:Children n9:Epicardial n9:dual-chamber n9:site n9:experience
n5:kodStatuVydavatele
GB - Spojené království Velké Británie a Severního Irska
n5:kontrolniKodProRIV
[39080370683E]
n5:nazevZdroje
Europace
n5:obor
n17:FA
n5:pocetDomacichTvurcuVysledku
6
n5:pocetTvurcuVysledku
7
n5:rokUplatneniVysledku
n8:2012
n5:svazekPeriodika
14
n5:tvurceVysledku
Materna, Ondřej Janoušek, Jan Matějka, Tomáš Gebauer, R. A. Kubuš, Peter Gebauer, Roman Tláskal, Tomáš
n5:wos
000302301800012
n5:zamer
n19:MZ0FNM2005
s:issn
1099-5129
s:numberOfPages
6