Work

Utility of transesophageal echocardiography during implantation of leadless pacemaker in pediatric patients

Year: 2026

Type: article

Abstract: Transcatheter leadless pacemakers (LP) eliminate pocket and lead-related complications associated with traditional transvenous pacing systems. The safety and efficacy of LP are well described in the adult population 1,2. Recently, pediatric studies have also found its use favorable in select patient populations 3. The LP is particularly useful in pediatric patients with transient or paroxysmal atrioventricular (AV) block and those with prolonged pauses leading to symptoms. Technical challenges unique to pediatric implantation include smaller patient size, smaller cardiac chamber size, proximity to the tricuspid (TV) and pulmonary valve (PV), and the need for adequate vein size of at least 9mm to safely accept the delivery system 4.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2026.02.011

Authors: Maria Elena Gutierrez, Salima Ahmed Bhimani, Karine Guerrier

Institutions: University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memorial Hermann, The University of Texas Health Science Center at Houston

Language: English

Topic: Cardiac pacing and defibrillation studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100