UC Davis Director of Pediatric Electrophysiology Dan Cortez has set one other world document: He’s the primary to implant a twin chamber leadless pacemaker in a baby. His case report was printed this week within the journal PACE: Pacing and Scientific Electrophysiology.
A 13-year-old affected person was referred to the UC Davis pediatric electrophysiology clinic for presyncope, a sense of lightheadedness or dizziness with out truly fainting, after being monitored for years for congenital full coronary heart block.
Pacemakers are usually positioned in kids with congenital full coronary heart block, a uncommon situation that may result in sudden demise and impacts 1 in about 15,000 to 22,000 kids. Congenital full coronary heart block could happen on account of repaired congenital coronary heart illness or genetic predisposition. It can be acquired from publicity to sure maternal antibodies.
After serial electrocardiograms and Holter displays confirmed progressively decrease common coronary heart charges, Cortez talked with the affected person and their household about pacemaker choices.
Twin chamber leadless pacemakers assist regulate the center’s rhythm by stimulating the center’s higher (atrial) and decrease (ventricular) chambers. As a result of the affected person needed to stay lively in sports activities with out restrictions, leadless pacing was introduced as an possibility, and the household agreed.
The AVEIR twin chamber leadless pacemaker was implanted by way of the affected person’s proper inside jugular vein (as a substitute of the femoral vein) so the affected person may transfer simply and return to sports activities sooner. The minimally invasive process passed off within the UC Davis Electrophysiology Lab.
The affected person had no issues throughout or after the process. Three months later, the affected person was capable of resume train and play sports activities.
The AVEIR gadget is totally different from conventional pacemakers partially as a result of it has no leads or cords and is absorbed by the center. It’s also 10 instances smaller than a standard pacemaker. This pacemaker has been implanted in adults throughout the nation because it acquired FDA approval in 2023.
Everybody, children included, can now have the advantages of pacemakers with out leads and with out the issues that include leads long run. It doesn’t matter what form of pacing a child wants -;atrial or ventricular, or each -; they’ll now safely obtain leadless pacing and, after the brief restoration interval, don’t have any restrictions to their exercise degree.”
Dan Cortez, Director of Pediatric Electrophysiology, UC Davis
In 2023, Cortez was the primary doctor on this planet to implant a retrievable leadless pacemaker in a baby. 5 years previous to that, Cortez was the primary doctor on this planet to implant a Micra single-chamber leadless pacemaker via the interior jugular vein in a baby.
Supply:
Journal reference:
Cortez, D. (2024). Twin Chamber Aveir Retrievable Leadless Pacemaker Implant by way of the Proper Inner Jugular Vein in a 13‐12 months‐previous With Congenital Full Coronary heart Block. Pacing and Scientific Electrophysiology. doi.org/10.1111/tempo.15129.
