December 1, 2006Pacing and Clinical ElectrophysiologyOpen Access

ICD Implantation in Infants and Small Children: The Extracardiac Technique

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Why the study?

Does extracardiac ICD implantation provide safe and effective therapy in infants and small children?

Structured PICO

Does extracardiac ICD implantation provide safe and effective therapy in infants and small children?

Population

8 pediatric patients (infants and small children), age 0.3-8 years, body weight 4-29 kg

Intervention

Extracardiac ICD implantation (subcutaneous defibrillator lead, epicardial sensing/pacing leads, and active can in the upper abdomen)

Outcome

Efficacy and safety (intraoperative defibrillation thresholds [DFTs], sensing, pacing, impedances, and follow-up stability/complications)safety

Extracardiac ICD implantation is technically feasible in infants and small children, though lead-related complications remain a concern during follow-up.

Limitations

Experience and follow-up are still limited
The course of the DFT is unknown facing further growth of the patients

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Should not yet change practice in small children; leaves open need for prospective safety data on extracardiac ICDs.

Cite This Study

Kriebel et al. (2006) studied this question.

synapsesocial.com/papers/6a71ff0f75498292b70b45d3 https://doi.org/10.1111/j.1540-8159.2006.00542.x

Topics

Cardiac device therapy

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ICD Implantation in Infants and Small Children: The Extracardiac Technique

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Topics

ICD Implantation in Infants and Small Children: The Extracardiac Technique

Structured PICO

Limitations

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider