ReviewJACC. Advances2025
Permanent Cardiac Pacing in the Fontan Population: A Contemporary Review of Indications, Approaches, and Outcomes.
Review in JACC. Advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
5 citing papers in PubMed.
- Contemporary Management and Future Directions of Adults Living With a Fontan Circulation.JACC. Advances · 2026Review
- Effects of cardiac resynchronization therapy in adults with congenital heart disease.BMC cardiovascular disorders · 2026Article
- Integrated Multimodal Imaging for Transvenous Transpulmonary Atrial Pacing Lead Implantation in Fontan Patient.JACC. Case reports · 2025Article
- Revisiting the rhythm: A systematic review and meta-analysis of long-term arrhythmia outcomes after extracardiac versus intracardiac Fontan completion.Annals of pediatric cardiologyArticle
- Unifying nomenclature describing the individuals with Fontan circulation.Annals of pediatric cardiologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Following the Fontan operation, electrophysiologic abnormalities requiring pacemaker implantation are common, consisting of sinus node dysfunction, complete atrioventricular block, and electromechanical dyssynchrony. Pacemaker implantation in this population can be challenging, as transvenous access to the cardiac chambers is often limited and may increase the risk of thromboembolism. Consequently, epicardial lead placement continues to be the default approach at most centers. Furthermore, permanent cardiac pacing has been associated with poor outcomes in this population (including an increased need for cardiac transplantation and death), even though it may be, depending on the approach, of great benefit for many individuals. Fortunately, improved understanding of the differential effects of cardiac pacing and novel approaches related to implantation have been developed and have increased their application to a growing number of patients. This review highlights the indications for pacing, methods to facilitate lead implantation, and associated outcomes in Fontan patients requiring permanent cardiac pacing.
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Registered trials
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