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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
Published on: February 28, 2012
Implantable cardioverter defibrillator-related complications in the pediatric population
1Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. shahm@email.chop.edu
Insights
Pediatric implantable cardioverter-defibrillator (ICD) therapy complications are reviewed. Inappropriate therapy and lead failures are the most frequent issues, necessitating improved management strategies.
Area of Science:
- Pediatric Cardiology
- Biomedical Engineering
Background:
- Implantable cardioverter-defibrillator (ICD) therapy is increasingly used in children and young adults.
- Advances in device size and lead technology have facilitated wider adoption.
Purpose of the Study:
- To review complications associated with ICD implantation in the pediatric population.
- To identify common issues and inform future management strategies.
Main Methods:
- Systematic review of ICD complications in pediatric patients.
- Analysis of data related to implantation procedures, device systems, and psychosocial factors.
Main Results:
- Complications encompass procedural, system-related, and psychosocial issues.
- Inappropriate ICD therapy and lead failures are the most prevalent complications.
- Psychosocial challenges are also significant in pediatric ICD recipients.
Conclusions:
- Understanding ICD complications is crucial for technological advancement.
- Developing effective management strategies is essential to minimize complication recurrence.
- Further research is needed to optimize pediatric ICD therapy.
Background:
The recognition that implantable cardioverter-defibrillator (ICD) therapy in children can prolong life coupled with the development of smaller devices and transvenous lead technology has increased the number of ICDs implanted in children and young adults.
Methods:
ICD complications in the pediatric population are reviewed.
Results:
ICD complications in the pediatric population include those related to the implantation procedure, the ICD system, as well as psychosocial issues. Inappropriate ICD therapy and ICD lead failures are the most frequent complications.
Conclusion:
Identifying complications is the prerequisite for advances in ICD technology and effective management strategies need to be developed to avoid their recurrence.
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