Video-assisted thoracoscopic pacemaker lead placement in children with atrioventricular block

Термосесов, С. А.; Kulbachinskaya, Ekaterina K.; Polyakova, E. B.; Хаспеков, Д. В.; Гришин, Игорь Юрьевич; Bereznitskaya, V.; Школьникова, М. А.

doi:10.4103/apc.apc_93_20

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…23 In a younger population, Termosesov et al performed VATS in five children aged 2-4 years, but their approach also required three separate incisions. 24 Bar-Cohen et al used a percutaneous technique to implant a micropacemaker into adult pigs. However, this technique required an 18-French delivery system and the use of dye and fluoroscopy, rather than direct visualization, and was only successful in 3 out of 6 animals.…”

Section: Resultsmentioning

confidence: 99%

“…Nellis et al reported the use of three separate 5 mm ports to suture leads to the epicardium in five patients, aged 9–11 years 23 . In a younger population, Termosesov et al performed VATS in five children aged 2–4 years, but their approach also required three separate incisions 24 . Bar‐Cohen et al used a percutaneous technique to implant a micropacemaker into adult pigs.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have proposed alternative surgical methods to decrease the invasiveness of lead implantation, either with different, smaller surgical incisions, or thoracoscopy via multiple ports. [19][20][21][22][23][24] Our group has previously established the feasibility of epicardial lead placement using a single incision access port to successfully implant ICDs and prototype miniature pacemakers under direct visualization in acute and chronic porcine studies. [25][26][27][28] However, all of the prior implants still required a small surgical incision.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous epicardial pacing in infants using direct visualization: A feasibility animal study

Kumthekar

Opfermann

Mass

et al. 2023

Cardiovasc electrophysiol

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This study was supported by two research grants, one from the Pediatric and Congenital Electrophysiology Society (PACES) and another from the American Academy of Pediatrics (AAP) Children's Heart Foundation (CHF). Justin D. Opfermann and Charles I. Berul are co-founders of PeriCor, LLC. Charles I. Berul is a consultant for Medtronic. Justin D. Opfermann, Paige N. Mass, Dr. Charles I. Berul, and Dr. Rohan N. Kumthekar are also members of and hold Shares of Stock Options in PeriCor, LLC. The results of the study discussed in this publication could affect the value of PeriCor, LLC. This arrangement has been reviewed and approved by the Johns Hopkins University in accordance with its conflict-of-interest policies.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous epicardial pacing in infants using direct visualization: A feasibility animal study

Kumthekar

Opfermann

Mass

et al. 2023

Cardiovasc electrophysiol

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“…Recently, Termosesov et al. described their experience in five children affected by congenital atrioventricular (AV) block where an epicardial lead placement was performed via video‐assisted thoracoscopic technique 9 . The authors conclude that this type of procedure could be a reasonable alternative to the transthoracic approach in children with congenital AV block.…”

Section: Techniquementioning

confidence: 99%

Video‐assisted thoracoscopic epicardial pacing: A contemporary overview

Marini,

Pannone,

Branzoli

et al. 2023

Pacing Clinical Electrophis

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Video‐assisted thoracoscopic surgery (VATS) has revolutionized the approach and management of pulmonary and cardiac diseases, and its applications have significantly expanded in the last two decades. Beyond its established role in thoracic procedures, VATS has also emerged as a valuable technique for various electrophysiological procedures, including pacemaker implantations, ablation procedures, and left atrial appendage exclusion. This paper presents a thorough review of the existing literature on pacing procedures performed using a VATS approach. By analyzing and synthesizing the available studies, we aim to provide an in‐depth understanding of the current knowledge and advancements in VATS‐based pacing procedures. A key focus of this review is the detailed description of implantation techniques via a VATS approach.

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“…The loss of vascular access or direct access to cardiac chambers and/or persistent right-to-left shunting require utilization of epicardial pacing leads (with concomitant sternotomy or thoracotomy), 74 although novel hybrid approaches to lead placement are being developed. 75,76 Bradycardia and scar-related tachycardias are common following surgery, and in the absence of high-grade AV block, atrial pacing is preferred to avoid pacing-induced ventricular dysfunction. 67,68 Permanent pacemaker and/or lead implantation may be considered prophylactically in patients with evidence of conduction disease and heart defects with a known natural progression to advanced heart block (e.g., discordant AV connections, heterotaxy syndrome) at the time of cardiac surgery.…”

Section: Recommendation-specific Supportive Textmentioning

confidence: 99%

2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

et al. 2021

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In view of the increasing complexity of both cardiovascular implantable electronic devices (CIEDs) and patients in the current era, practice guidelines, by necessity, have become increasingly specific. This document is an expert consensus statement that has been developed to update and further delineate indications and management of CIEDs in pediatric patients, defined as ≤21 years of age, and is intended to focus primarily on the indications for CIEDs in the setting of specific disease categories. The document also highlights variations between previously published adult and pediatric CIED recommendations and provides rationale for underlying important differences. The document addresses some of the deterrents to CIED access in low- and middle-income countries and strategies to circumvent them. The document sections were divided up and drafted by the writing committee members according to their expertise. The recommendations represent the consensus opinion of the entire writing committee, graded by class of recommendation and level of evidence. Several questions addressed in this document either do not lend themselves to clinical trials or are rare disease entities, and in these instances recommendations are based on consenus expert opinion. Furthermore, specific recommendations, even when supported by substantial data, do not replace the need for clinical judgment and patient-specific decision-making. The recommendations were opened for public comment to Pediatric and Congenital Electrophysiology Society (PACES) members and underwent external review by the scientific and clinical document committee of the Heart Rhythm Society (HRS), the science advisory and coordinating committee of the American Heart Association (AHA), the American College of Cardiology, (ACC) and the Association for European Paediatric and Congenital Cardiology (AEPC). The document received endorsement by all the collaborators and the Asia Pacific Heart Rhythm Society (APHRS), the Indian Heart Rhythm Society (IHRS), and the Latin American Heart Rhythm Society (LAHRS). This document is expected to provide support for clinicians and patients to allow for appropriate CIED use, appropriate CIED management, and appropriate follow-up in pediatric patients.

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Video-assisted thoracoscopic pacemaker lead placement in children with atrioventricular block

Cited by 10 publications

References 14 publications

Percutaneous epicardial pacing in infants using direct visualization: A feasibility animal study

Percutaneous epicardial pacing in infants using direct visualization: A feasibility animal study

Video‐assisted thoracoscopic epicardial pacing: A contemporary overview

2021 PACES expert consensus statement on the indications and management of cardiovascular implantable electronic devices in pediatric patients

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