Extrusion of new-generation implantable loop recorders in pediatric patients may occur when using adhesive closure, suggesting subcutaneous sutures may be necessary.
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May signal extrusion risk with adhesive closure in young children; case report leaves open optimal fixation for new-generation ILRs.
Cardiac rhythm monitoring has been facilitated by the use of implantable loop recorders. New models of these devices are 87% smaller than before allowing for easier implantation and use in the paediatric population. Recommendations are for closure with adhesive. We report a device extrusion in a 6-year-old patient. Based on this, our practice has changed to include subcutaneous sutures this complication.
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Chaouki et al. (2016) studied this question.
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