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Implantation of an "extracardiac" internal cardioverter defibrillator in a 6-month-old infant.

作者信息

Kriebel T, Ruschewski W, Paul T

机构信息

Department of Pediatric Cardiology and Intensive Care Medicine, University Hospital, Georg-August-University Göttingen, Robert-Koch-Strasse 40, 37075 Göttingen, Germany.

出版信息

Z Kardiol. 2005 Jun;94(6):415-8. doi: 10.1007/s00392-005-0236-z.

DOI:10.1007/s00392-005-0236-z
PMID:15940443
Abstract

In infants and small children, ICD implantation is a challenge due to technical limitations and a significant number of complications. This report describes ICD implantation in a 6-month-old infant (body weight 5.5 kg). A completely extracardiac defibrillation system was implanted using a transvenous lead subcutaneously in the back below the left scapula as the defibrillation electrode and an active-can device in the right upper abdomen. Defibrillation threshold of implantation was < or =10 J. During the follow-up of 3 months, 8 adequate ICD discharges were noted. The technique described seems feasible to facilitate ICD implantation in small infants.

摘要

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本文引用的文献

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Pacing Clin Electrophysiol. 2004 Jul;27(7):924-32. doi: 10.1111/j.1540-8159.2004.00560.x.
2
Implantable cardioverter defibrillator in a child using a single subcutaneous array lead and an abdominal active can.使用单根皮下阵列导线和腹部有源除颤器罐的儿童植入式心脏复律除颤器
Pacing Clin Electrophysiol. 2004 Jan;27(1):117-9. doi: 10.1111/j.1540-8159.2004.00398.x.
3
Transcutaneous implantation of an internal cardioverter defibrillator in a small infant with recurrent myocardial ischemia and cardiac arrest simulating sudden infant death syndrome.
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Tex Heart Inst J. 2011;38(4):421-3.
4
Long QT syndrome due to a novel mutation in SCN5A: treatment with ICD placement at 1 month and left cardiac sympathetic denervation at 3 months of age.因SCN5A基因新突变导致的长QT综合征：1个月时植入植入式心律转复除颤器（ICD），3个月时行左侧心脏交感神经去神经术治疗。
J Interv Card Electrophysiol. 2009 Oct;26(1):41-5. doi: 10.1007/s10840-009-9428-1. Epub 2009 Aug 11.
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Pacing Clin Electrophysiol. 2004 Jan;27(1):112-6. doi: 10.1111/j.1540-8159.2004.00397.x.
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