2014 · 12 citations · 15 references
MedicineBioengineeringCardiologyBioinstrumentationElectrophysiologyInterventional CardiologyCardiac Conduction SystemCardiac PacingCongenital Heart SurgeryElectrocardiographyFetal CardiologyImplantable Biomedical DevicesCardiac Implantable DevicesCardiac PacemakersFetal Arrhythmia TreatmentFetal BradyarrhythmiasFetal TachyarrhythmiasPacemaker PhysiologyPacing For BradyarrhythmiasSafety Factor
A miniaturized, self-contained pacemaker that could be implanted with a minimally invasive technique would dramatically improve the survival rate for fetuses that develop hydrops fetalis as a result of congenital heart block. We are currently validating a device that we developed to address this bradyarrhythmia. Preclinical studies in a fetal sheep model are underway to demonstrate that the device can be implanted via a minimally invasive approach, can mechanically withstand the harsh bodily environment, can induce effective contractions of the heart muscle with an adequate safety factor, and can successfully operate for the required device lifetime of three months using the previously-developed closed loop transcutaneous recharging system.
15
Utility of Cardiac Monitoring in Fetuses at Risk for Congenital Heart Block
Deborah Friedman, Mimi Kim, Joshua A. Copel et al. · Circulation · 2008 · 308 citations
Medicine, Cardiology, Obstetrics +17
Deborah Friedman, Carolina Llanos, Peter Izmirly et al. · Arthritis & Rheumatism · 2010 · 240 citations · Full text