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Leadless Pacemaker Implantation in a Pediatric Patient with Prolonged Sinus Pauses

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Abstract

Permanent cardiac pacing is the only effective solution for patients with symptomatic bradycardia and heart block. About 10% of patients undergoing implantation of the conventional pacing system develop complications related to the subcutaneous pocket or the leads and in pediatric patients lead problems may rise in up to 30% of the patients. The leadless pacemaker devices were developed in order to minimize some of those complications. We present a case of an 11-year-old patient who presented after the sudden death of his older brother, with recurrent episodes of syncope and documented prolonged sinus pauses. The patient underwent percutaneous implantation of a leadless Micra™ pacemaker device with optimal results.

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Abbreviations

VT:

Ventricular tachycardia

References

  1. Reynolds D, Duray G, Omar R, Soejima K (2016) A leadless intracardiac transcatheter pacing system. N Engl J Med 374:533–541

    Article  CAS  PubMed  Google Scholar 

  2. Ritter P, Duray G, Steinwender C, Soejima K (2015) Early performance of a miniaturized leadless cardiac pacemaker: the Micra transcatheter pacing study. Eur Heart J 36:2510–2519

    Article  PubMed  PubMed Central  Google Scholar 

  3. Reddy V, Exner D, Cantillon D, Doshi R (2015) Percutaneous implantation of an entirely intracardiac leadless pacemaker. N Engl J Med 373:1125–1135

    Article  CAS  PubMed  Google Scholar 

  4. Wilhelm BJ, Thöne M, El-Scheich T, Livert D, Angelico R, Osswald B (2015) Complications and risk assessment of 25 years in pediatric pacing. Ann Thorac Surg 100(1):147–153

    Article  PubMed  Google Scholar 

  5. Duray G, Ritter P, El-Chami M, Narasimhan C (2017) Long-term performance of a transcatheter pacing system: 12-month results from the Micra Transcatheter Pacing Study. Heart Rhythm 14:702–709

    Article  PubMed  Google Scholar 

  6. Fortescue F, Berul C, Cecchin F, Walsh E, Triedman J, Alexander M (2004) Patient, procedural, and hardware factors associated with pacemaker lead failures in pediatrics and congenital heart disease. Heart Rhythm 1(2):150–159

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel

    Shai Tejman-Yarden, Jonathan Buber & Eitan Keizman

  2. Davidai Arrhythmia Center, The Heart Center, Sheba Medical Center, Ramat Gan, Israel

    Shai Tejman-Yarden, Eyal Nof, Roy Beinart, Jonathan Buber & Michael Glikson

  3. Medtronic Ltd, Tel Aviv, Israel

    Nadav Ovadia & Yuval Goldshmit

  4. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

    Shai Tejman-Yarden, Eyal Nof, Roy Beinart, Jonathan Buber & Michael Glikson

  5. Department of Internal Medicine, Sheba Medical Center, Ramat Gan, Israel

    Hagith Yonath

  6. The Genetic Institute, Sheba Medical Center, Ramat Gan, Israel

    Hagith Yonath

Authors
  1. Shai Tejman-Yarden
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  2. Eyal Nof
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  3. Roy Beinart
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  4. Nadav Ovadia
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  5. Yuval Goldshmit
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  6. Jonathan Buber
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  7. Hagith Yonath
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  8. Eitan Keizman
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  9. Michael Glikson
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Corresponding author

Correspondence to Shai Tejman-Yarden.

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The authors have no conflicts of interest to disclose.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Tejman-Yarden, S., Nof, E., Beinart, R. et al. Leadless Pacemaker Implantation in a Pediatric Patient with Prolonged Sinus Pauses. Pediatr Cardiol 39, 844–847 (2018). https://doi.org/10.1007/s00246-018-1832-9

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  • DOI: https://doi.org/10.1007/s00246-018-1832-9

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