Subcutaneous Implantable Cardioverter-Defibrillators in Pediatrics and Congenital Heart Disease

Alvensleben, Johannes C. von; Dechert, Brynn E.; Bradley, David J.; Fish, Frank A.; Moore, Jeremy P.; Pilcher, Thomas A.; Escudero, Carolina A.; Ceresnak, Scott R.; Kwok, Sylvia Y. C. L.; Balaji, Seshadri; Aziz, Peter F.; Papagiannis, John; Cortez, Daniel; Garnreiter, Jason M.; Kean, Adam C.; Schäfer, Michal; Collins, Kathryn K.

doi:10.1016/j.jacep.2020.07.010

Cited by 29 publications

(28 citation statements)

References 20 publications

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“…This technology avoids the frequent lead-related complications of the epicardial or endocavitary material [ 24 , 25 ]. The infection rate is comparable to endocavitary system but remains low and at lower risk of causing extraction surgery [ 26 ]. Inappropriate shocks represent the main complication and are often related to T-wave oversensing [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…The infection rate is comparable to endocavitary system but remains low and at lower risk of causing extraction surgery [ 26 ]. Inappropriate shocks represent the main complication and are often related to T-wave oversensing [ 25 , 26 ]. The pre-implantation process must therefore ensure that the patient does not require pacing, and that ventricular sensing is performed correctly in one of the device vectors.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the absence of antitachycardia pacing for termination of ventricular tachycardia, management may include antiarrhythmic therapy and possible ablation procedures to treat organized arrhythmias. Recent studies suggest efficacy and complications comparable to the transvenous device in congenital heart disease [ 26 ]. Long-term data will confirm whether this approach remains safe and reliable in this very specific population.…”

Section: Discussionmentioning

confidence: 99%

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Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death

Laïk¹,

Fouilloux

Aldebert

et al. 2021

Case Reports in Cardiology

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Background. Anomalous left coronary artery connected to the pulmonary artery (ALCAPA) is a rare congenital heart disease. Adaptive development of sufficient heterocoronary collaterality in the newborn may allow survival to a later age. In older children or adults, malignant ventricular arrhythmias can reveal the disease. Case Report. A 15-year-old girl was referred to the local hospital after a resuscitated out-of-hospital cardiac arrest. CT scan and coronary angiography revealed an ALCAPA. Direct aortic reimplantation of the left coronary artery was performed. Postoperative ECG monitoring showed short episodes of nonsustained ventricular tachycardia. Transthoracic echocardiography and cardiac MRI revealed subendocardial fibrosis of the anterolateral papillary muscle. Beta-blockade therapy was initiated at first intention. After hospital discharge, the patient reported several fainting without loss of consciousness. Considering sudden death nonrelated to effort, episodes of nonsustained ventricular tachycardia, and areas of myocardial fibrosis, the patient underwent subcutaneous cardioverter-defibrillator implantation. 6-month follow-up is satisfactory without clinical or rhythmic abnormalities. Discussion. Indication for surgical correction of ALCAPA is well defined, but rhythmic secondary prevention after resuscitated cardiac arrest is less consensual. Cardiac MRI is an essential tool in the identification of a potential rhythmic substrate and should be taken into account in the discussion of a preventive cardioverter-defibrillator implantation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death

Laïk¹,

Fouilloux

Aldebert

et al. 2021

Case Reports in Cardiology

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“…This may require nonstandard approaches such as epicardial leads, non transvenous defibrillation coils or a subcutaneous ICD. 218,219…”

Section: Recommendation-specific Supportive Textmentioning

confidence: 99%

“…These include subcutaneous ICDs, leadless pacemakers, and conduction system pacing. [315][316][317] Multicenter prospective registries as well as high- Number value: 0 = $0; 1 = ≤ $10,000; 2 = > $10,000 to ≤ $25,000; 3 = > $25,000 to ≤ $50,000; 4 = > $50,000 to ≤ $100,000; 5 = > $100,000.…”

Section: Knowledge Gaps and Future Researchmentioning

confidence: 99%

2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients

et al. 2021

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Low Risk of Inappropriate Shock Among Pediatric Patients With an Implantable Cardioverter Defibrillator: A Single Center Experience

Einbinder,

Machtei,

Birk

et al. 2023

Pediatr Cardiol

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Subcutaneous Implantable Cardioverter-Defibrillators in Pediatrics and Congenital Heart Disease

Cited by 29 publications

References 20 publications

Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death

Anomalous Left Coronary Artery Connected to the Pulmonary Artery in a 15-Year-Old Girl: Case Report and Discussion on Secondary Prevention of Sudden Death

2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients

Low Risk of Inappropriate Shock Among Pediatric Patients With an Implantable Cardioverter Defibrillator: A Single Center Experience

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