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Conjoined subrectus pocket for permanent pacemaker placement in the neonate
K S Ulicny1, F C Detterbeck, P J Starek
1Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Chapel Hill 27599-7065.
The Annals of Thoracic Surgery
|June 11, 1992
Summary
We describe a new, safe, and simple pacemaker implantation technique for neonates. This method uses a subxyphoid epicardial lead and subrectus pulse generator placement, minimizing patient harm.
Area of Science:
- Pediatric Cardiology
- Medical Devices
- Surgical Innovation
Background:
- Neonatal pacemaker implantation presents unique surgical challenges.
- Minimizing invasiveness and morbidity is crucial in this vulnerable population.
Purpose of the Study:
- To present a novel, safe, and effective method for pacemaker implantation in neonates.
- To detail the technique involving subxyphoid epicardial lead placement and subrectus pulse generator positioning.
Main Methods:
- A subxyphoid approach was utilized for epicardial lead placement.
- The pulse generator was positioned in the subrectus abdominal muscle plane.
- This technique was applied in a neonatal cohort.
Main Results:
- The described method was successfully implemented in neonates.
- The procedure demonstrated simplicity and safety.
- Minimal morbidity was associated with this implantation technique.
Conclusions:
- This subxyphoid epicardial lead and subrectus pulse generator placement offers a viable and safe alternative for neonatal pacemaker implantation.
- The technique is associated with low complication rates, making it suitable for pediatric cardiac care.