Emerging Technologies for the Smallest Patients

Authors

Bradley C. Clark, Division of Pediatric Cardiology, Department of Pediatrics, Masonic Children's Hospital, University of Minnesota Medical School, 2450 Riverside Avenue South, AO-405, Minneapolis, MN 55454, USA. Electronic address: bradleyclarkep@gmail.com.
Charles I. Berul, Division of Cardiology, Department of Pediatrics, Children's National Hospital, George Washington University School of Medicine, 111 Michigan Avenue, NW, Washington, DC 20010, USA.

Document Type

Journal Article

Publication Date

12-1-2023

Journal

Cardiac electrophysiology clinics

Volume

15

Issue

4

DOI

10.1016/j.ccep.2023.06.007

Keywords

Atrioventricular block; Cardiac implantable electronic device; Implantable cardiac monitor; Implantable cardioverter defibrillator; Miniaturization; Pacemaker; Pediatrics; Pericardial access

Abstract

Pediatric and congenital heart disease patients may require cardiac implantable electronic device implantation, inclusive of pacemaker, ICD, and implantable cardiac monitor, for a variety of etiologies. While leads, generators, and monitors have decreased in size over the years, they remain less ideal for the smallest patients. The potential for a miniature pacemaker, fetal micropacemaker, improving leadless technology, and rechargeable devices creates hope that the development of pediatric-focused devices will increase. Further, alternative approaches that avoid the need for a transvenous or surgical approach may add more options to the toolbox for the pediatric and congenital electrophysiologist.

APA Citation

Clark, Bradley C. and Berul, Charles I., "Emerging Technologies for the Smallest Patients" (2023). GW Authored Works. Paper 4066.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/4066

Department

Pediatrics