Pacemakers and implantable cardioverter-defibrillators in pediatric patients
2006; Elsevier BV; Volume: 3; Issue: 11 Linguagem: Inglês
10.1016/j.hrthm.2006.02.009
ISSN1556-3871
AutoresMichael J. Silka, Yaniv Bar‐Cohen,
Tópico(s)Cardiac electrophysiology and arrhythmias
ResumoThe use of pacemakers and implantable cardioverter-defibrillators (ICDs) in infants, children, and patients with congenital heart disease presents unique challenges and considerations. They include uncommon indications for device implantation, innovative approaches to lead implantation and configuration, and age-dependent and disease-specific aspects of device programming. In this review, the current indications for pacemaker and ICD implantation in young patients are discussed, followed by consideration of the approaches to lead and device placement in very small patients and those with complex congenital heart disease, in whom unique problems may be encountered. The limitations of programmability of current pacemakers and ICDs when used in young patients are discussed, followed by an analysis of long-term device follow-up and potential late complications.
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