Epicardial and pleural lead ICD systems in children and adolescents maintain functionality over 5 years.

Details

Serval ID
serval:BIB_66FBB6751F8C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Epicardial and pleural lead ICD systems in children and adolescents maintain functionality over 5 years.
Journal
Europace
Author(s)
Tomaske M., Prêtre R., Rahn M., Bauersfeld U.
ISSN
1532-2092 (Electronic)
ISSN-L
1099-5129
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
10
Number
10
Pages
1152-1156
Language
english
Abstract
AIMS: The optimal implantable cardioverter defibrillator (ICD) system implant technique has not yet been defined in young patients and those with congenital heart disease (CHD). We describe our 5-year experience with epicardial pacing/sensing leads secured on the left cardiac chambers and a pleural defibrillation lead insertion along the third intercostal space.
METHODS AND RESULTS: Implantable cardioverter defibrillator systems were implanted in 15 children and adolescents (age: 2.9-20.0 years) for primary (n = 11) or secondary (n = 4) prevention. Underlying CHD were hypertrophic (n = 10) or dilative cardiomyopathies (n = 2), primary electrical diseases (n = 2), and transposition of the great arteries (n = 1). Devices were placed in the rectus sheath (n = 5), or within the diaphragm (n = 10). Median defibrillation threshold at implant was 15 J (range: 10-25). During 5 years of follow-up (median: 22 months), nine appropriate and two inappropriate ICD discharges occurred. Four system revisions were required due to device recall, pleural lead dislodgement, epicardial lead fracture, and insulation break. Twelve months after the implantation, defibrillation threshold testing demonstrated stable thresholds of <or=20 J in five patients.
CONCLUSION: Our 5-year experience demonstrates the efficacy of epicardial and pleural lead ICD systems. Inappropriate shocks and lead failures are observed as in other ICD systems. It represents an alternative implant technique for young and active patients and those without venous access.
Pubmed
Web of science
Open Access
Yes
Create date
16/12/2014 19:18
Last modification date
20/08/2019 14:22
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