Chun Terrence U H, Collins Kathryn K, Dubin Anne M
Division of Pediatric Cardiology, Stanford University, 750 Welch Road, Suite 305, Palo Alto, California 94305, USA.
Expert Rev Cardiovasc Ther. 2004 Jul;2(4):561-71. doi: 10.1586/14779072.2.4.561.
The use of implantable cardioverter defibrillators in children presents several unique challenges for the pediatric cardiologist. Size considerations and hardware limitations are important in the current generation of devices that are not designed with children in mind. Defibrillator devices are used to prolong life, which may have significant implications for leads and electrodes that are affixed to the heart in a child who has continued growth potential. A greater number of children with congenital heart defects are surviving into adulthood, many of whom have a risk of late sudden death following repair. These patients may also have unique anatomic considerations that may affect device placement. This article will address some of the issues faced when considering the use of implantable-defibrillator therapy in the pediatric population.
对于儿科心脏病专家而言，在儿童中使用植入式心脏复律除颤器面临着若干独特挑战。在当前未针对儿童设计的设备一代中，尺寸考量和硬件限制至关重要。除颤器设备用于延长生命，这对于附着在有持续生长潜力儿童心脏上的导线和电极可能具有重大影响。越来越多患有先天性心脏病的儿童存活至成年，其中许多人在修复后有晚期猝死风险。这些患者也可能有影响设备放置的独特解剖学考量。本文将探讨在考虑对儿科人群使用植入式除颤器治疗时所面临的一些问题。
