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Related Experiment Videos

[Intrathoracic pacemaker implantation in children].

I Kiso1, T Hirotani, T Maehara

  • 1Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 1, 1990
PubMed
Summary

Intrathoracic pacemaker implantation in children reduced complications and improved cosmetics compared to abdominal methods. However, subsequent generator replacements became difficult due to rib fusion as children grew.

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Area of Science:

  • Pediatric cardiology
  • Biomedical engineering
  • Surgical innovation

Context:

  • The conventional abdominal wall implantation for pacemakers in children can lead to complications.
  • Minimizing complications and improving cosmetic outcomes are key considerations in pediatric device implantation.

Purpose:

  • To evaluate the intrathoracic implantation method for pediatric pacemakers introduced in 1976.
  • To compare the intrathoracic method with the conventional abdominal wall implantation regarding complications and patient outcomes.

Summary:

  • From 1976 to 1988, 12 children received intrathoracic pacemaker implants.
  • Pacemaker generator replacements were performed 12 times in 8 patients due to battery depletion.
  • This method reduced electrode fractures and offered cosmetic benefits compared to abdominal implantation.

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Impact:

  • Intrathoracic implantation is effective in minimizing pacemaker-related complications in children.
  • While initial generator exchange is straightforward, subsequent exchanges can be challenging due to physiological changes (rib fusion) with growth.