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Implantable Cardioverter Defibrillator in a Child Using a Single Subcutaneous Array Lead and an Abdominal Active Can
Author(s) -
LUEDEMANN MONIKA,
HUND KARIN,
STERTMANN WILHELM,
MICHELBEHNKE INA,
GONZALES MARIA,
AKINTUERK HAKAN,
SCHRANZ DIETMAR
Publication year - 2004
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2004.00398.x
Subject(s) - medicine , implantable cardioverter defibrillator , lead (geology) , hypertrophic cardiomyopathy , cardiology , ventricular tachycardia , surgery , geology , geomorphology
This report describes the case of an 8‐year‐old boy with hypertrophic cardiomyopathy (HCM) who underwent ICD implantation for recurrent syncope. To avoid vascular complications and to minimize the surgical approach in this small child, a nonthoracotomy ICD system was chosen using a single subcutaneous array lead with only one finger, an abdominally placed active can, and epicardial dual chamber pacing and sensing electrodes. During an 8‐month follow‐up, DFT was confirmed and there were no ventricular tachycardia or complications. It appears to be a safe device for the prevention of sudden cardiac death in infants and small children. (PACE 2004; 27:117–119)