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Maki W, Asakai H, Shiraga K, et al. Minimally invasive, pericardial implantable cardioverter-defibrillator placement in a young child. J Arrhythm. 2017;33(5):523-524doi: 10.1016/j.joa.2017.06.003.
Maki, W., Asakai, H., Shiraga, K., Shindo, T., Hirata, Y., Inuzuka, R., Hirata, Y., & Oka, A. (2017). Minimally invasive, pericardial implantable cardioverter-defibrillator placement in a young child. Journal of arrhythmia, 33(5), 523-524. https://doi.org/10.1016/j.joa.2017.06.003
Maki, Wakana, et al. "Minimally invasive, pericardial implantable cardioverter-defibrillator placement in a young child." Journal of arrhythmia vol. 33,5 (2017): 523-524. doi: https://doi.org/10.1016/j.joa.2017.06.003
Maki W, Asakai H, Shiraga K, Shindo T, Hirata Y, Inuzuka R, Hirata Y, Oka A. Minimally invasive, pericardial implantable cardioverter-defibrillator placement in a young child. J Arrhythm. 2017 Oct;33(5):523-524. doi: 10.1016/j.joa.2017.06.003. Epub 2017 Jul 26. PMID: 29021865; PMCID: PMC5634712.
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J Arrhythm. 2017 Oct;33(5):523-524. doi: 10.1016/j.joa.2017.06.003. Epub 2017 Jul 26.

Minimally invasive, pericardial implantable cardioverter-defibrillator placement in a young child.

Journal of arrhythmia

Wakana Maki, Hiroko Asakai, Kazuhiro Shiraga, Takahiro Shindo, Yoichiro Hirata, Ryo Inuzuka, Yasutaka Hirata, Akira Oka

Affiliations

  1. University of Tokyo Hospital, Department of Pediatrics, 7-3-1 Hongo, Bunkyoku, Tokyo, Japan.
  2. University of Tokyo Hospital, Department of Cardiac and Thoracic Surgery, 7-3-1 Hongo, Bunkyoku, Tokyo, Japan.

PMID: 29021865 PMCID: PMC5634712 DOI: 10.1016/j.joa.2017.06.003

Abstract

We report the successful minimally invasive placement of a pericardial implantable cardioverter-defibrillator (ICD) in a 16-kg child. A transvenous ICD dual coil was advanced through a small subxiphoid incision and screwed into the oblique sinus pericardium under fluoroscopic guidance. An additional sense-pace lead was sutured onto the right ventricular apex, and the generator was placed in the upper abdominal wall through the same incision. Threshold testing demonstrated successful defibrillation at 15 J. After implantation, the patient had two episodes of appropriate shock for ventricular fibrillation. The ICD system continues to show stable impedance at 6 months of follow-up.

Keywords: Child; ICD; Minimally invasive; Pericardial

References

  1. J Cardiovasc Electrophysiol. 2006 Jan;17 (1):41-6 - PubMed
  2. Ann Thorac Surg. 2009 Apr;87(4):1234-8; discussion 1238-9 - PubMed
  3. J Arrhythm. 2017 Jun;33(3):237-239 - PubMed

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