Extracardiac Minimal Invasive Implantation of Cardioverter Defibrillator in Young Children

Abstract

Implantable cardioverter defibrillator (ICD) placement in young children remains a challenge due to devicepatient size mismatch and the important choice between an endovenous or an epicardial approach for lead implantation. We treated three children, with respectively Long QT-syndrome, Brugada syndrome and Brugada syndrome with sick sinus syndrome, ranging from 9 months to 7 years with a subxyphoidal ICD and extracardiac lead implantation by minimally invasive techniques. In all cases the thresholds were excellent. The devices could be properly placed in the preperitoneal space without discomfort to the patients. The clinical course was uneventful and results were excellent.

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Notes on contributors

J. Czapla

J. Czapla, M.D. Centre for Cardiovacular Diseases, UZ Brussel Laarbeeklaan 101 1090 Brussel, Belgium Tel.: [phone] Fax: [phone] E-mail: [email protected]