Video-assisted thoracoscopic implantation of a diaphragmatic pacemaker in a child with tetraplegia: indications, technique, and results.
We report the case of a child with tetraplegia after cervical trauma, who subsequently underwent diaphragmatic pacemaker implantation. We reviewed the major indications for diaphragmatic pacing and the types of devices employed. We highlight the unequivocal benefit of diaphragmatic pacing in the social and educational reintegration of individuals with tetraplegia.
Caxias do Sul University Foundation, Caxias do Sul General Hospital, Department of Thoracic Surgery, Caxias do Sul, Brazil. Department of Thoracic Surgery, Caxias do Sul General Hospital, Caxias do Sul University Foundation, Caxias do Sul, Brazil.
Darcy Ribeiro
DR
Filho Pinto
University of São Paulo, School of Medicine, Hospital das Clínicas, São Paulo, Brazil. Department of Thoracic Surgery, Heart Institute, University of São Paulo School of Medicine Hospital das Clínicas, São Paulo, Brazil.
Miguel Lia
ML
Tedde
Caxias do Sul University Foundation, Caxias do Sul General Hospital, Department of Thoracic Surgery, Caxias do Sul, Brazil. Department of Thoracic Surgery, Caxias do Sul General Hospital, Caxias do Sul University Foundation, Caxias do Sul, Brazil.
Alexandre José Gonçalves
AJ
Avino
Caxias do Sul University Foundation, Caxias do Sul General Hospital, Department of Thoracic Surgery, Caxias do Sul, Brazil. Department of Thoracic Surgery, Caxias do Sul General Hospital, Caxias do Sul University Foundation, Caxias do Sul, Brazil.
Suzan Lúcia Brancher
SL
Brandão
Caxias do Sul University Foundation, Caxias do Sul General Hospital, Caxias do Sul, Brazil. Caxias do Sul General Hospital, Caxias do Sul University Foundation, Caxias do Sul, Brazil.
Iuri
I
Zanatta
Caxias do Sul University Foundation, Caxias do Sul General Hospital, Caxias do Sul, Brazil. Caxias do Sul General Hospital, Caxias do Sul University Foundation, Caxias do Sul, Brazil.
Rafael
R
Hahn
D000758:Anesthesia / Q000379:methods; D002648:Child; D003964:Diaphragm; D004599:Electric Stimulation Therapy / Q000295:instrumentation* / Q000379:methods; D004567:Electrodes, Implanted; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D010791:Phrenic Nerve; D019919:Prosthesis Implantation / Q000379:methods; D011782:Quadriplegia / Q000150:complications*; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods; D013119:Spinal Cord Injuries / Q000150:complications; D020775:Thoracic Surgery, Video-Assisted
Pacemaker, artificial; Quadriplegia; Respiration, artificial; Spinal cord injuries