Case report demonstrates effective epicardial use of Micra-based IPG in a premature neonate, suggesting a new option for urgent pacing.
Severe bradycardia due to advanced atrioventricular (AV) block in neonates is rare but can be life‐threatening, requiring urgent pacing. In the smallest infants, transvenous pacing is not feasible, and epicardial systems remain the standard. However, the pacemaker size still remains a significant issue in these small patients. Herein, we report the case of a premature neonate with complete intrauterine atrioventricular block successfully treated with an epicardial system using a custom‐designed Micra‐based Pediatric implantable pulse generator (IPG) connected to a standard epicardial lead.
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Mugnai et al. (2025) studied this question.
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