Key result
Minimally invasive subxiphoid approach enables successful pacemaker implantation in a 2.32 kg neonate with heart block.
Why the study?
The disproportionate size between commercially available pacemaker devices and neonates with congenital complete heart block can delay intervention and increase postoperative complications.
Case Report (n=1)
Demonstrates the feasibility of a minimally invasive subxiphoid approach for implanting a novel miniature pediatric pacemaker in a small neonate.
May enable less invasive pacing in extremely low-birth-weight neonates; hypothesis-generating and requires prospective validation before practice change.
Permanent pacemaker placement is often indicated in newborns with congenital complete heart block (CCHB). The disproportionate size between commercially available devices and the neonate can lead to delayed intervention and high postoperative complication rates. Recently, Medtronic developed a Pediatric Implantable Pulse Generator (IPG); a very small single chamber pacemaker requiring a bipolar lead. This case report describes a minimally invasive approach for the implantation of this Pediatric IPG shortly after birth in a 2.32 kg neonate with CCHB.
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Kirk et al. (2024) conducted a case report in Congenital complete heart block (CCHB) (n=1). Subxiphoid insertion of a Pediatric Implantable Pulse Generator was evaluated. A minimally invasive subxiphoid approach was described for the implantation of a Pediatric Implantable Pulse Generator in a 2.32 kg neonate with congenital complete heart block.
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