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Pediatric Micra leadless pacemaker implantation via the internal jugular and femoral vein : A single-center, US experience

Siddeek, Hani ; Jimenez, Erick ; Ambrose, Matthew ; Braunlin, Elizabeth ; Steinberger, Julia ; Bass, John and Cortez, Daniel LU (2021) In Future Cardiology 17(6). p.1116-1122
Abstract

Background: In the pediatric population, conventional transvenous and epicardial pacemaker systems carry complications such as lead distortion due to growth/activity, in addition to other lead/pocket complications. Materials & methods: A retrospective review of pediatric leadless pacing at the University of Minnesota Masonic Children's Hospital from 2018 to 2020 was performed. Rationale for pacing, demographics of patients, thresholds and longevity of devices were recorded. Results: Seven leadless pacemaker insertions and one removal were performed successfully, in patients weighing between 19 kg and 58 kg. Three patients had Micra implantation via internal jugular vein. One pericardial effusion occurred perioperatively in a 19 kg... (More)

Background: In the pediatric population, conventional transvenous and epicardial pacemaker systems carry complications such as lead distortion due to growth/activity, in addition to other lead/pocket complications. Materials & methods: A retrospective review of pediatric leadless pacing at the University of Minnesota Masonic Children's Hospital from 2018 to 2020 was performed. Rationale for pacing, demographics of patients, thresholds and longevity of devices were recorded. Results: Seven leadless pacemaker insertions and one removal were performed successfully, in patients weighing between 19 kg and 58 kg. Three patients had Micra implantation via internal jugular vein. One pericardial effusion occurred perioperatively in a 19 kg patient with baseline thrombocytopenia, sideroblastic anemia and Pearson Marrow Pancreas syndrome. Conclusion: Leadless pacemaker implantation/early retrieval is feasible in pediatric patients.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
congenital heart disease, leadless pacing, Micra, pediatric
in
Future Cardiology
volume
17
issue
6
pages
7 pages
publisher
Future Medicine Ltd.
external identifiers
  • pmid:33463371
  • scopus:85116665713
ISSN
1479-6678
DOI
10.2217/fca-2020-0169
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 Future Medicine Ltd.. All rights reserved.
id
ce00545c-a373-47e2-ba01-b048f2e1c658
date added to LUP
2021-10-26 13:34:37
date last changed
2024-02-20 15:07:57
@article{ce00545c-a373-47e2-ba01-b048f2e1c658,
  abstract     = {{<p>Background: In the pediatric population, conventional transvenous and epicardial pacemaker systems carry complications such as lead distortion due to growth/activity, in addition to other lead/pocket complications. Materials &amp; methods: A retrospective review of pediatric leadless pacing at the University of Minnesota Masonic Children's Hospital from 2018 to 2020 was performed. Rationale for pacing, demographics of patients, thresholds and longevity of devices were recorded. Results: Seven leadless pacemaker insertions and one removal were performed successfully, in patients weighing between 19 kg and 58 kg. Three patients had Micra implantation via internal jugular vein. One pericardial effusion occurred perioperatively in a 19 kg patient with baseline thrombocytopenia, sideroblastic anemia and Pearson Marrow Pancreas syndrome. Conclusion: Leadless pacemaker implantation/early retrieval is feasible in pediatric patients.</p>}},
  author       = {{Siddeek, Hani and Jimenez, Erick and Ambrose, Matthew and Braunlin, Elizabeth and Steinberger, Julia and Bass, John and Cortez, Daniel}},
  issn         = {{1479-6678}},
  keywords     = {{congenital heart disease; leadless pacing; Micra; pediatric}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{1116--1122}},
  publisher    = {{Future Medicine Ltd.}},
  series       = {{Future Cardiology}},
  title        = {{Pediatric Micra leadless pacemaker implantation via the internal jugular and femoral vein : A single-center, US experience}},
  url          = {{http://dx.doi.org/10.2217/fca-2020-0169}},
  doi          = {{10.2217/fca-2020-0169}},
  volume       = {{17}},
  year         = {{2021}},
}