Implantation of an "extracardiac" Internal Cardioverter Defibrillator in a 6-month-old Infant

Overview

Journal Z Kardiol

Specialty Cardiology & Vascular Diseases

Date 2005 Jun 9

PMID 15940443

Citations 4

Authors

T Kriebel

W Ruschewski

T Paul

Affiliations

Soon will be listed here.

Abstract

In infants and small children, ICD implantation is a challenge due to technical limitations and a significant number of complications. This report describes ICD implantation in a 6-month-old infant (body weight 5.5 kg). A completely extracardiac defibrillation system was implanted using a transvenous lead subcutaneously in the back below the left scapula as the defibrillation electrode and an active-can device in the right upper abdomen. Defibrillation threshold of implantation was < or =10 J. During the follow-up of 3 months, 8 adequate ICD discharges were noted. The technique described seems feasible to facilitate ICD implantation in small infants.

Citing Articles

Efficacy and safety of non-transvenous cardioverter defibrillators in infants and young children.

Muller M, Dieks J, Backhoff D, Schneider H, Ruschewski W, Tirilomis T J Interv Card Electrophysiol. 2018; 54(2):151-159.

PMID: 30255451 DOI: 10.1007/s10840-018-0451-y.

Implantable cardioverter defibrillator therapy in pediatric and congenital heart disease patients: a single tertiary center experience in Korea.

Jin B, Bang J, Choi E, Kim G, Kwon B, Bae E Korean J Pediatr. 2013; 56(3):125-9.

PMID: 23559974 PMC: 3611046. DOI: 10.3345/kjp.2013.56.3.125.

Epicardial implantable cardioverter-defibrillator system placed in a 4.9-kg infant.

Bryant 3rd R, Aboutalebi A, Kim J, Kertesz N, Morales D Tex Heart Inst J. 2011; 38(4):421-3.

PMID: 21841874 PMC: 3147208.

Long QT syndrome due to a novel mutation in SCN5A: treatment with ICD placement at 1 month and left cardiac sympathetic denervation at 3 months of age.

Silver E, Liberman L, Chung W, Spotnitz H, Chen J, Ackerman M J Interv Card Electrophysiol. 2009; 26(1):41-5.

PMID: 19669871 PMC: 3332535. DOI: 10.1007/s10840-009-9428-1.

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