Implantable Cardioverter Defibrillator in a Child Using a Single Subcutaneous Array Lead and an Abdominal Active Can

M. Luedemann, KARIN HUND, WILHELM STERTMANN, Ina Michel‐Behnke, Maria Gonzales, Hakan Akintuerk, Dietmar Schranz

Pacing and Clinical Electrophysiology · 2004 · 37 citations · 9 references

Concepts

Abstract

This report describes the case of an 8-year-old boy with hypertrophic cardiomyopathy (HCM) who underwent ICD implantation for recurrent syncope. To avoid vascular complications and to minimize the surgical approach in this small child, a nonthoracotomy ICD system was chosen using a single subcutaneous array lead with only one finger, an abdominally placed active can, and epicardial dual chamber pacing and sensing electrodes. During an 8-month follow-up, DFT was confirmed and there were no ventricular tachycardia or complications. It appears to be a safe device for the prevention of sudden cardiac death in infants and small children.

References

9