Key result
Extravascular ICD shows successful implantation and effective defibrillation in a 2-year-old child.
Why the study?
Automated implantable cardioverter-defibrillator implantation in young children is a rare procedure typically requiring intrapericardial lead placement.
Case Report (n=1)
No
Extravascular implantable cardioverter-defibrillator (EV-ICD) placement is feasible and may offer a safe, minimally invasive option for secondary prevention in young pediatric patients.
Answers are grounded in this paper and cite their sources.
EV-ICD may offer a minimally invasive option in toddlers; hypothesis-generating and requires prospective validation before practice change.
Automated implantable cardioverter defibrillator device implantation in young children is a rare procedure that typically necessitates intrapericardial lead placement. The extravascular implantable cardioverter defibrillator device can be implanted with the patient in a substernal position and with a straightforward and minimally invasive technique. The largest incision is made to accommodate the generator device. The alignment of the coils and device provides a good vector for defibrillation while permitting somatic growth. Here we describe implantation of an extravascular implantable cardioverter defibrillator in a 2-year-old child, among the youngest patients to receive this device to date.
No takes yet. Share an insight, caveat, or question.
Rabin et al. (2024) conducted a case report in Brugada syndrome with ventricular fibrillatory arrest (n=1). Extravascular implantable cardioverter-defibrillator (EV-ICD) was evaluated on Successful device implantation and defibrillation delivery. The extravascular implantable cardioverter-defibrillator was successfully implanted in a 2-year-old child and effectively delivered defibrillation therapy for recurrent ventricular tachycardia.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: