Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique
Introduction: Pediatric patients with cardiomyopathies are at risk for sudden death and may need implantable cardioverter defibrillators (ICD’s), but given their small size and duration of use, children are at increased risk for complications associated with ICD use. The subcutaneous ICD presents a...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Indian Pacing and Electrophysiology Journal |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0972629220301467 |
| _version_ | 1818875369466363904 |
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| author | Daniel Cortez Kari Erickson Gurumurthy Hiremath Nathan Rodgers Brenda Dugas Elizabeth Braunlin Rebecca Ameduri Jamie L. Lohr |
| author_facet | Daniel Cortez Kari Erickson Gurumurthy Hiremath Nathan Rodgers Brenda Dugas Elizabeth Braunlin Rebecca Ameduri Jamie L. Lohr |
| author_sort | Daniel Cortez |
| collection | DOAJ |
| description | Introduction: Pediatric patients with cardiomyopathies are at risk for sudden death and may need implantable cardioverter defibrillators (ICD’s), but given their small size and duration of use, children are at increased risk for complications associated with ICD use. The subcutaneous ICD presents a favorable option for children without pacing indications. Unfortunately, initial pediatric studies have demonstrated a high complication rate, likely due to the 3-incision technique employed. Material and methods: Patients with ICD but no pacing indication were retrospectively reviewed after implantation of subcutaneous ICD via the two-incision technique. In half of the patients, 10-J impedance test was also performed to compare with impedance obtained after defibrillation threshold testing with 65-J. Results: Twelve patients were included. The median age was 14 years (range 10–16 years) with eight males included (72.7%). The median weight was 55 kg (range 29 kg–75.1 kg). Follow-up had a median of 11.5 months (range 2–27 months). The median body mass index was 18.4 kg/m squared (range 15.5–27.9 kg/m squared). One patient suffered a minor complication after tearing off the incisional adhesive strips early and required a non-invasive repair in clinic. Shock impedance had a median of 55 J (range 48–68 J). There was one appropriate shock/charge and no inappropriate shocks during follow-up. Conclusion: The two-incision, intermuscular technique appears to have a lower acute complication rate than prior reports, in our cohort of 12 pediatric patients. |
| first_indexed | 2024-12-19T13:25:24Z |
| format | Article |
| id | doaj.art-7585efa99c6446b4b60a2e91dac41592 |
| institution | Directory Open Access Journal |
| issn | 0972-6292 |
| language | English |
| last_indexed | 2024-12-19T13:25:24Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Indian Pacing and Electrophysiology Journal |
| spelling | doaj.art-7585efa99c6446b4b60a2e91dac415922022-12-21T20:19:34ZengElsevierIndian Pacing and Electrophysiology Journal0972-62922021-01-012112528Pediatric SubQ-ICD implantation, a single center review of the inter-muscular techniqueDaniel Cortez0Kari Erickson1Gurumurthy Hiremath2Nathan Rodgers3Brenda Dugas4Elizabeth Braunlin5Rebecca Ameduri6Jamie L. Lohr7University of Minnesota/Masonic Children’s Hospital, Minneapolis, USA; Corresponding author. 5thFloor East Building 8951 H, 2450 Riverside Avenue Floor East Building 8951 H, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA.Fairview Health Systems, Minneapolis, USAUniversity of Minnesota/Masonic Children’s Hospital, Minneapolis, USAUniversity of Minnesota/Masonic Children’s Hospital, Minneapolis, USAFairview Health Systems, Minneapolis, USAUniversity of Minnesota/Masonic Children’s Hospital, Minneapolis, USAUniversity of Minnesota/Masonic Children’s Hospital, Minneapolis, USAUniversity of Minnesota/Masonic Children’s Hospital, Minneapolis, USAIntroduction: Pediatric patients with cardiomyopathies are at risk for sudden death and may need implantable cardioverter defibrillators (ICD’s), but given their small size and duration of use, children are at increased risk for complications associated with ICD use. The subcutaneous ICD presents a favorable option for children without pacing indications. Unfortunately, initial pediatric studies have demonstrated a high complication rate, likely due to the 3-incision technique employed. Material and methods: Patients with ICD but no pacing indication were retrospectively reviewed after implantation of subcutaneous ICD via the two-incision technique. In half of the patients, 10-J impedance test was also performed to compare with impedance obtained after defibrillation threshold testing with 65-J. Results: Twelve patients were included. The median age was 14 years (range 10–16 years) with eight males included (72.7%). The median weight was 55 kg (range 29 kg–75.1 kg). Follow-up had a median of 11.5 months (range 2–27 months). The median body mass index was 18.4 kg/m squared (range 15.5–27.9 kg/m squared). One patient suffered a minor complication after tearing off the incisional adhesive strips early and required a non-invasive repair in clinic. Shock impedance had a median of 55 J (range 48–68 J). There was one appropriate shock/charge and no inappropriate shocks during follow-up. Conclusion: The two-incision, intermuscular technique appears to have a lower acute complication rate than prior reports, in our cohort of 12 pediatric patients.http://www.sciencedirect.com/science/article/pii/S0972629220301467Subcutaneous ICDPediatricsIntermuscular |
| spellingShingle | Daniel Cortez Kari Erickson Gurumurthy Hiremath Nathan Rodgers Brenda Dugas Elizabeth Braunlin Rebecca Ameduri Jamie L. Lohr Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique Indian Pacing and Electrophysiology Journal Subcutaneous ICD Pediatrics Intermuscular |
| title | Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique |
| title_full | Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique |
| title_fullStr | Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique |
| title_full_unstemmed | Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique |
| title_short | Pediatric SubQ-ICD implantation, a single center review of the inter-muscular technique |
| title_sort | pediatric subq icd implantation a single center review of the inter muscular technique |
| topic | Subcutaneous ICD Pediatrics Intermuscular |
| url | http://www.sciencedirect.com/science/article/pii/S0972629220301467 |
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