Selective site pacing in paediatric patients--technology or function?

Abstract

This editorial refers to 'Selective-site pacing in paediatric patients: a new application of the Select Secure system' by F. Cantuet al., on page 601 While the debate about the role of selective site pacing in adults with structurally normal hearts continues, many in the paediatric pacing fraternity have adopted the new technologies available with open arms as a means to address some of the long-standing difficulties associated with pacing infants, children, and young adults. The chal- lenges for endocardial pacing in the paediatric population are many, but include unusual anatomy, smaller access vessels, need for active fixation, need for good manoeuvrability of the lead/delivery system, ability to deal with growth and leads with very high expectations of longevity and reliability. In many ways, a new catheter-delivered