Key result
Pacemaker and defibrillator implantation via axillary incision in 18 pediatric patients achieved excellent sensing and pacing thresholds with 0 pneumothoraces, 1 lead dislodgement, and 1 fracture.
Why the study?
Is pacemaker and defibrillator implantation by axillary incision safe and effective in pediatric patients?
Observational (n=18)
Is pacemaker and defibrillator implantation by axillary incision safe and effective in pediatric patients?
Implantation of pacemakers and defibrillators via a retropectoral transvenous approach with a hidden axillary incision is safe and effective in pediatric patients, offering aesthetic benefits and avoiding subclavian crush syndrome.
No takes yet. Share an insight, caveat, or question.
Axillary incision may support safe pediatric device implantation; hypothesis-generating and requires larger comparative studies before practice change.
LEE et al. (2004) conducted an observational in Pediatric patients requiring pacemaker or defibrillator implantation (n=18). Retropectoral transvenous approach with a hidden axillary incision was evaluated on Safety and efficacy (sensing/pacing thresholds, pneumothorax, lead complications). Pacemaker and defibrillator implantation via axillary incision in 18 pediatric patients achieved excellent sensing and pacing thresholds with 0 pneumothoraces, 1 lead dislodgement, and 1 fracture.
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