Most centers worldwide use permanent endovenous cardiac electrostimulation in children requiring pacing whose body mass is over 10 kg. The normal implantation route is via a subclavian vein puncture. In our Center, we have implanted permanent endovenous pacing systems for complete AV block in nine children with a mean body mass 7.4 kg (range 2.45–10 kg). The endovenous lead was placed using cephalic vein cutdown procedure. To allow ‘sliding’ during the child's growth, the lead was secured by absorbable sutures.
