Giacomo Mugnai, Luca Tomasi, Stiljan Hoxha, Alessandra Cristofaletti, Bruna Bolzan, Elena Franchi, Matteo Ciuffreda, Flavio Luciano Ribichini, Giovanni Battista Luciani
{"title":"Micra的新发现：改良的Micra型儿科IPG在新生儿完全性心脏传导阻滞中的心外膜应用。","authors":"Giacomo Mugnai, Luca Tomasi, Stiljan Hoxha, Alessandra Cristofaletti, Bruna Bolzan, Elena Franchi, Matteo Ciuffreda, Flavio Luciano Ribichini, Giovanni Battista Luciani","doi":"10.1111/pace.70058","DOIUrl":null,"url":null,"abstract":"<p><p>Severe bradycardia due to advanced atrioventricular (AV) block in neonates is rare but can be life-threatening, requiring urgent pacing. In the smallest infants, transvenous pacing is not feasible, and epicardial systems remain the standard. However, the pacemaker size still remains a significant issue in these small patients. Herein, we report the case of a premature neonate with complete intrauterine atrioventricular block successfully treated with an epicardial system using a custom-designed Micra-based Pediatric implantable pulse generator (IPG) connected to a standard epicardial lead.</p>","PeriodicalId":520740,"journal":{"name":"Pacing and clinical electrophysiology : PACE","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A New Look for Micra: Epicardial Use of a Modified Micra-Based Pediatric IPG in a Neonate With Complete Heart Block.\",\"authors\":\"Giacomo Mugnai, Luca Tomasi, Stiljan Hoxha, Alessandra Cristofaletti, Bruna Bolzan, Elena Franchi, Matteo Ciuffreda, Flavio Luciano Ribichini, Giovanni Battista Luciani\",\"doi\":\"10.1111/pace.70058\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Severe bradycardia due to advanced atrioventricular (AV) block in neonates is rare but can be life-threatening, requiring urgent pacing. In the smallest infants, transvenous pacing is not feasible, and epicardial systems remain the standard. However, the pacemaker size still remains a significant issue in these small patients. Herein, we report the case of a premature neonate with complete intrauterine atrioventricular block successfully treated with an epicardial system using a custom-designed Micra-based Pediatric implantable pulse generator (IPG) connected to a standard epicardial lead.</p>\",\"PeriodicalId\":520740,\"journal\":{\"name\":\"Pacing and clinical electrophysiology : PACE\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-09-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pacing and clinical electrophysiology : PACE\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1111/pace.70058\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pacing and clinical electrophysiology : PACE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1111/pace.70058","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
A New Look for Micra: Epicardial Use of a Modified Micra-Based Pediatric IPG in a Neonate With Complete Heart Block.
Severe bradycardia due to advanced atrioventricular (AV) block in neonates is rare but can be life-threatening, requiring urgent pacing. In the smallest infants, transvenous pacing is not feasible, and epicardial systems remain the standard. However, the pacemaker size still remains a significant issue in these small patients. Herein, we report the case of a premature neonate with complete intrauterine atrioventricular block successfully treated with an epicardial system using a custom-designed Micra-based Pediatric implantable pulse generator (IPG) connected to a standard epicardial lead.
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