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A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.

Publication ,  Journal Article
Nellis, JR; Fitch, ZW; Choi, AY; Meza, JM; Spector, ZZ; Von Bergen, NH; Torres, JE; Klapper, JA; Sauer, JS; Turek, JW
Published in: Innovations (Phila)
2018

Traditionally, pacing leads are placed transvenously, although smaller pediatric patients who require permanent pacemakers may benefit from delaying tranvenous lead placement until they are larger. Alternative, minimally invasive atrioventricular pacing options have not previously existed for this patient population, leaving many of these children with large sternotomies or thoracotomies. Using three port sites and an adjustable shaft dual-needle suturing device, we placed a steroid-eluting, sew-on epicardial lead on the right atrium of a 9-year-old patient. This is one of the earliest reported cases of a minimally invasive technique for sew-on epicardial lead placement on the atrium of a child. Although based on a single case, we believe that this approach is safe, reliable, and reproducible and that it can be used to place leads on any aspect of the heart. Adoption of this technique will allow for earlier atrioventricular pacing, which may decrease the incidence of pacemaker syndrome, and thus improve overall outcomes in this patient population.

Duke Scholars

Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2018

Volume

13

Issue

6

Start / End Page

455 / 457

Location

United States

Related Subject Headings

  • Respiratory System
  • Prosthesis Implantation
  • Pacemaker, Artificial
  • Minimally Invasive Surgical Procedures
  • Humans
  • Heart Defects, Congenital
  • Female
  • Electrodes, Implanted
  • Child
 

Citation

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Nellis, J. R., Fitch, Z. W., Choi, A. Y., Meza, J. M., Spector, Z. Z., Von Bergen, N. H., … Turek, J. W. (2018). A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child. Innovations (Phila), 13(6), 455–457. https://doi.org/10.1097/IMI.0000000000000568
Nellis, Joseph R., Zachary W. Fitch, Ashley Y. Choi, James M. Meza, Zebulon Z. Spector, Nicholas H. Von Bergen, Jose E. Torres, Jacob A. Klapper, Jude S. Sauer, and Joseph W. Turek. “A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.Innovations (Phila) 13, no. 6 (2018): 455–57. https://doi.org/10.1097/IMI.0000000000000568.
Nellis JR, Fitch ZW, Choi AY, Meza JM, Spector ZZ, Von Bergen NH, et al. A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child. Innovations (Phila). 2018;13(6):455–7.
Nellis, Joseph R., et al. “A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.Innovations (Phila), vol. 13, no. 6, 2018, pp. 455–57. Pubmed, doi:10.1097/IMI.0000000000000568.
Nellis JR, Fitch ZW, Choi AY, Meza JM, Spector ZZ, Von Bergen NH, Torres JE, Klapper JA, Sauer JS, Turek JW. A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child. Innovations (Phila). 2018;13(6):455–457.

Published In

Innovations (Phila)

DOI

EISSN

1559-0879

Publication Date

2018

Volume

13

Issue

6

Start / End Page

455 / 457

Location

United States

Related Subject Headings

  • Respiratory System
  • Prosthesis Implantation
  • Pacemaker, Artificial
  • Minimally Invasive Surgical Procedures
  • Humans
  • Heart Defects, Congenital
  • Female
  • Electrodes, Implanted
  • Child