| Axillary versus infraclavicular placement for endocardial heart rhythm devices in patients with pediatric and congenital heart disease. | |
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MedLine Citation:
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PMID: 21094368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our objective was to evaluate the implant and mid-term outcomes of transvenous pacemaker or internal cardioverter-defibrillator placement by alternative axillary approaches compared to the infraclavicular approach in a pediatric and congenital heart disease population. We conducted a retrospective review of all patients with new endocardial heart rhythm devices placed at 4 pediatric arrhythmia centers. A total of 317 patients were included, 63 had undergone a 2-incision axillary approach, 51 a retropectoral axillary approach, and 203 an infraclavicular approach. Congenital heart disease was present in 62% of the patients. The patients with the 2-incision axillary approach were younger and smaller. The patients with the retropectoral axillary approach were less likely to have undergone previous cardiac surgery and were more likely to have had an internal cardioverter-defibrillator placed. The duration of follow-up was 2.4 ± 1.9 years for the 2-incision axillary, 2.6 ± 2.6 years for retropectoral axillary, and 3.5 ± 1.4 years for the infraclavicular technique (p = 0.01). No differences were seen in implant characteristics, lead longevity, implant complications, lead fractures or dislodgements, inappropriate internal cardioverter-defibrillator discharges, or device infections among the 3 groups. In conclusion, our data support that the outcomes of axillary approaches are comparable to the infraclavicular approach for endocardial heart rhythm device placement and that axillary approaches should be considered a viable option in patients with pediatric and congenital heart disease. |
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Authors:
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Christopher M Rausch; Benjamin H Hughes; Martin Runciman; Ian H Law; David J Bradley; Mathur Sujeev; Abdul Duke; Michael Schaffer; Kathryn K Collins |
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Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study Date: 2010-10-19 |
Journal Detail:
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Title: The American journal of cardiology Volume: 106 ISSN: 1879-1913 ISO Abbreviation: Am. J. Cardiol. Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-01-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0207277 Medline TA: Am J Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 1646-51 Citation Subset: AIM; IM |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Division of Pediatric Cardiology, Children's Hospital, University of Colorado, Denver, Colorado, USA. rausch.christopher@tchden.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Axilla Clavicle Defibrillators, Implantable* Electric Countershock / methods* Female Follow-Up Studies Heart Defects, Congenital / physiopathology, therapy* Heart Rate / physiology* Humans Male Prosthesis Implantation / methods* Retrospective Studies Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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