Open AccessMinimally invasive, pericardial implantable cardioverter‐defibrillator placement in a young child
Author(s) -
Maki Wakana,
Asakai Hiroko,
Shiraga Kazuhiro,
Shindo Takahiro,
Hirata Yoichiro,
Inuzuka Ryo,
Hirata Yasutaka,
Oka Akira
Publication year - 2017
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/j.joa.2017.06.003
Subject(s) - medicine , implantable cardioverter defibrillator , defibrillation , pericardium , ventricular fibrillation , cardiology , shock (circulatory) , surgery
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.