Placement of a permanent epicardial pacemaker in children using a subcostal approach
Background. Previously described techniques for epicardial pacemakers in children have generally included either a left thoracotomy approach or a subxiphoid incision. Methods. We have recently used a single left subcostal incision for placement of both the epicardial electrodes and the pacemaker gen...
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| Veröffentlicht in: | The Annals of thoracic surgery 1999-07, Vol.68 (1), p.173-175 |
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| creator | Warner, Kenneth G Halpin, Dermot P Berul, Charles I Payne, Douglas D |
| description | Background. Previously described techniques for epicardial pacemakers in children have generally included either a left thoracotomy approach or a subxiphoid incision.
Methods. We have recently used a single left subcostal incision for placement of both the epicardial electrodes and the pacemaker generator. We report our initial experience with this technique in 8 patients. The mean age was 4 years (range, 4 months to 12 years). The smallest patient weighed 4,100 g.
Results. The subcostal approach was successful in 7 patients. One patient with a narrow costal margin operated on early in our experience required conversion to a thoracotomy. The pacing thresholds were uniformly excellent in all patients. There have been no associated complications.
Conclusions. Placement of epicardial leads using a left subcostal incision avoids a thoracotomy, is simpler than a subxiphoid approach, and results in acceptable thresholds with minimal morbidity. |
| doi_str_mv | 10.1016/S0003-4975(99)00399-9 |
| format | Article |
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Methods. We have recently used a single left subcostal incision for placement of both the epicardial electrodes and the pacemaker generator. We report our initial experience with this technique in 8 patients. The mean age was 4 years (range, 4 months to 12 years). The smallest patient weighed 4,100 g.
Results. The subcostal approach was successful in 7 patients. One patient with a narrow costal margin operated on early in our experience required conversion to a thoracotomy. The pacing thresholds were uniformly excellent in all patients. There have been no associated complications.
Conclusions. Placement of epicardial leads using a left subcostal incision avoids a thoracotomy, is simpler than a subxiphoid approach, and results in acceptable thresholds with minimal morbidity.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(99)00399-9</identifier><identifier>PMID: 10421136</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Child ; Child, Preschool ; Heart Block - surgery ; Humans ; Infant ; Medical sciences ; Pacemaker, Artificial ; Sick Sinus Syndrome - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Thoracic Surgical Procedures - methods</subject><ispartof>The Annals of thoracic surgery, 1999-07, Vol.68 (1), p.173-175</ispartof><rights>1999 The Society of Thoracic Surgeons</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-9de573c154bae74c3ad2d64a1c0ef41c7e541e5f89b37b88dca0ba9eb27b811f3</citedby><cites>FETCH-LOGICAL-c472t-9de573c154bae74c3ad2d64a1c0ef41c7e541e5f89b37b88dca0ba9eb27b811f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0003-4975(99)00399-9$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1894559$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10421136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Warner, Kenneth G</creatorcontrib><creatorcontrib>Halpin, Dermot P</creatorcontrib><creatorcontrib>Berul, Charles I</creatorcontrib><creatorcontrib>Payne, Douglas D</creatorcontrib><title>Placement of a permanent epicardial pacemaker in children using a subcostal approach</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. Previously described techniques for epicardial pacemakers in children have generally included either a left thoracotomy approach or a subxiphoid incision.
Methods. We have recently used a single left subcostal incision for placement of both the epicardial electrodes and the pacemaker generator. We report our initial experience with this technique in 8 patients. The mean age was 4 years (range, 4 months to 12 years). The smallest patient weighed 4,100 g.
Results. The subcostal approach was successful in 7 patients. One patient with a narrow costal margin operated on early in our experience required conversion to a thoracotomy. The pacing thresholds were uniformly excellent in all patients. There have been no associated complications.
Conclusions. Placement of epicardial leads using a left subcostal incision avoids a thoracotomy, is simpler than a subxiphoid approach, and results in acceptable thresholds with minimal morbidity.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Heart Block - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Medical sciences</subject><subject>Pacemaker, Artificial</subject><subject>Sick Sinus Syndrome - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Thoracic Surgical Procedures - methods</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkM1O3TAQRi1EBbfAI4CyQKhdpNiJncQrhBDQSkhFAtbWZDwBQ_6wk0q8fR3uFXTXlT3y-WbGh7FDwX8ILorTO855nkpdqm9af493rVO9xVZCqSwtMqW32eoD2WVfQ3iOZRafd9iu4DITIi9W7P62BaSO-ikZmgSSkXwH_VLS6BC8ddAm44LAC_nE9Qk-udZ66pM5uP4xRsJc4xCmyME4-gHwaZ99aaANdLA599jD1eX9xc_05vf1r4vzmxRlmU2ptqTKHIWSNVApMQeb2UKCQE6NFFiSkoJUU-k6L-uqsgi8Bk11FishmnyPnaz7xrGvM4XJdC4gtW38wTAHU2id8UrwCKo1iH4IwVNjRu868G9GcLPoNO86zeLKaG3edRodc0ebAXPdkf0ntfYXgeMNAAGhbTz06MInV2mp1NLnbI1RtPHHkTcBHfVI1nnCydjB_WeTv1Ujkmk</recordid><startdate>19990701</startdate><enddate>19990701</enddate><creator>Warner, Kenneth G</creator><creator>Halpin, Dermot P</creator><creator>Berul, Charles I</creator><creator>Payne, Douglas D</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990701</creationdate><title>Placement of a permanent epicardial pacemaker in children using a subcostal approach</title><author>Warner, Kenneth G ; Halpin, Dermot P ; Berul, Charles I ; Payne, Douglas D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-9de573c154bae74c3ad2d64a1c0ef41c7e541e5f89b37b88dca0ba9eb27b811f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Heart Block - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Medical sciences</topic><topic>Pacemaker, Artificial</topic><topic>Sick Sinus Syndrome - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Thoracic Surgical Procedures - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Warner, Kenneth G</creatorcontrib><creatorcontrib>Halpin, Dermot P</creatorcontrib><creatorcontrib>Berul, Charles I</creatorcontrib><creatorcontrib>Payne, Douglas D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Warner, Kenneth G</au><au>Halpin, Dermot P</au><au>Berul, Charles I</au><au>Payne, Douglas D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Placement of a permanent epicardial pacemaker in children using a subcostal approach</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1999-07-01</date><risdate>1999</risdate><volume>68</volume><issue>1</issue><spage>173</spage><epage>175</epage><pages>173-175</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. Previously described techniques for epicardial pacemakers in children have generally included either a left thoracotomy approach or a subxiphoid incision.
Methods. We have recently used a single left subcostal incision for placement of both the epicardial electrodes and the pacemaker generator. We report our initial experience with this technique in 8 patients. The mean age was 4 years (range, 4 months to 12 years). The smallest patient weighed 4,100 g.
Results. The subcostal approach was successful in 7 patients. One patient with a narrow costal margin operated on early in our experience required conversion to a thoracotomy. The pacing thresholds were uniformly excellent in all patients. There have been no associated complications.
Conclusions. Placement of epicardial leads using a left subcostal incision avoids a thoracotomy, is simpler than a subxiphoid approach, and results in acceptable thresholds with minimal morbidity.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>10421136</pmid><doi>10.1016/S0003-4975(99)00399-9</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Biological and medical sciences Child Child, Preschool Heart Block - surgery Humans Infant Medical sciences Pacemaker, Artificial Sick Sinus Syndrome - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Thoracic Surgical Procedures - methods |
| title | Placement of a permanent epicardial pacemaker in children using a subcostal approach |
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