Abstract | BACKGROUND: METHODS: We reviewed the data and studied the indications for S-ICD in children and adolescents and discuss the preliminary clinical experience. RESULTS: From a cohort of 297 patients enrolled in the S-ICD "Monaldi care" registry that encompass all the patients implanted in the Monaldi Hospital of Naples, we considered 21 consecutive children and adolescents (mean age 13.9 years, range 8-18 years, mean body weight 59.3 kg, range 38-100 kg) who underwent S-ICD implant from April 2014 to June 2020. Mean follow-up was 41.9±21.9 months. Only one patient presented, 6 weeks after implantation, skin erosion at the inferior parasternal incision that resolved after antibiotic therapy, without the necessity of any system revision. Two patients experienced appropriate shocks and four inappropriate shocks, due to T wave oversensing or atrial arrhythmia. Only one patient, with arrhythmogenic right ventricular dysplasia, required a system revision after 36 months of the first implantation and then a reintervention with a replacement of the S-ICD by a conventional ICD system. CONCLUSIONS: Our experience suggests that the S-ICD device can be used in some children over the age of 8 as well as adults, with a similar rate of unwanted side effects, and early evidence of apparent efficacy.
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Authors | Berardo Sarubbi, Diego Colonna, Anna Correra, Emanuele Romeo, Michele D'Alto, Maria Teresa Palladino, Salvatore Virno, Antonio D'Onofrio, Maria Giovanna Russo |
Journal | Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing
(J Interv Card Electrophysiol)
Vol. 63
Issue 2
Pg. 283-293
(Mar 2022)
ISSN: 1572-8595 [Electronic] Netherlands |
PMID | 33709295
(Publication Type: Journal Article)
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Copyright | © 2021. Springer Science+Business Media, LLC, part of Springer Nature. |
Topics |
- Adolescent
- Adult
- Arrhythmias, Cardiac
(therapy)
- Arrhythmogenic Right Ventricular Dysplasia
- Child
- Death, Sudden, Cardiac
(prevention & control)
- Defibrillators, Implantable
- Humans
- Registries
- Treatment Outcome
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