Extrapleural intrathoracic implantation of permanent pacemaker in the pediatric age group.
Permanent pacemaker implantation in pediatric patients poses challenges in finding a suitable pocket for generator implantation. We present our experience with 6 patients in whom the pacemaker was placed in an extrapleural intrathoracic location. We find that an extrapleural intrathoracic pocket is a useful site for generator placement in the neonatal and pediatric age group. It is safe, reproducible, and both the lead and generator can be placed through a single incision. We briefly discuss the advantages and disadvantages of other techniques that require a single incision for both lead and generator placement.
Agarwal
Ravi
R
Department of Pediatric Cardiac Surgery, International Center for Cardiothoracic and Vascular Diseases, Chennai, Tamilnadu, India.
Krishnan
Ganapathy Subramaniam
GS
Abraham
Smartin
S
Bhatt
Kinnari
K
Sekar
Prem
P
Kulkarni
Snehal
S
Cherian
Kotturathu Mammen
KM
D002304:Cardiac Pacing, Artificial / Q000379:methods; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010138:Pacemaker, Artificial; D010372:Pediatrics; D010994:Pleura; D019919:Prosthesis Implantation / Q000379:methods*; D018570:Risk Assessment; D012494:Sampling Studies; D035423:Thoracic Cavity; D016896:Treatment Outcome