Epicardial Implantation of a Micra™ Pacemaker in a Premature Neonate with Congenital Complete Heart Block

KARIM, FARIDA; PECK, DANIEL; NARASIMHAN, SHANTI; VON BERGEN, NICHOLAS

doi:10.19102/icrm.2024.15012

J Innov Cardiac Rhythm Manage.

2024

DOI: 10.19102/icrm.2024.15012

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Epicardial Implantation of a Micra™ Pacemaker in a Premature Neonate with Congenital Complete Heart Block

FARIDA KARIM,

DANIEL PECK,

SHANTI NARASIMHAN

et al.

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2024

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Cited by 2 publications

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Recent Advancements in Cardiac Implantable Devices for Pediatric Patients

Kumthekar,

Howard

2024

Curr Pediatr Rep

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Purpose of Review We highlight recent advances in cardiac implantable electronic devices (CIEDs) that are applicable and can be beneficial for pediatric patients. Recent Findings Progress in pacemakers includes the widespread use of leadless pacemakers, development of tools for left bundle area pacing, and the design of novel miniaturized pacemakers and minimally invasive approaches for epicardial device implantation. For implantable cardioverter defibrillators (ICDs), there has been more utilization of the subcutaneous ICD in smaller patients or those with congenital heart disease, and significant improvements in ICD programming as well. Summary Leadless pacemakers have been safely utilized in children, even those under 30 kg with acute and medium-term success. Left bundle area pacing may provide a reduction in pacing-induced cardiomyopathy in the future. Novel miniature pacemakers and approaches to epicardial lead implantation can reduce complications for our smallest patients. Subcutaneous ICDs have been used effectively in the pediatric cohort with similar results to the adult population. ICD programming has been improved to reduce the risk of inappropriate shocks.

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Recent Advancements in Cardiac Implantable Devices for Pediatric Patients

Kumthekar,

Howard

2024

Curr Pediatr Rep

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Subxiphoid Insertion of a Pediatric Implantable Pulse Generator in a Neonate With Congenital Complete Heart Block

Kirk,

Hale,

Karimi

2024

World J Pediatr Congenit Heart Surg

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Permanent pacemaker placement is often indicated in newborns with congenital complete heart block (CCHB). The disproportionate size between commercially available devices and the neonate can lead to delayed intervention and high postoperative complication rates. Recently, Medtronic developed a Pediatric Implantable Pulse Generator (IPG); a very small single chamber pacemaker requiring a bipolar lead. This case report describes a minimally invasive approach for the implantation of this Pediatric IPG shortly after birth in a 2.32 kg neonate with CCHB.

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Epicardial Implantation of a Micra™ Pacemaker in a Premature Neonate with Congenital Complete Heart Block

Cited by 2 publications

References 9 publications

Recent Advancements in Cardiac Implantable Devices for Pediatric Patients

Recent Advancements in Cardiac Implantable Devices for Pediatric Patients

Subxiphoid Insertion of a Pediatric Implantable Pulse Generator in a Neonate With Congenital Complete Heart Block

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