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.
Authors
- Luca Tomasi
- Stiljan Hoxha (ORCID: https://orcid.org/0000-0003-1984-6172)
- Giacomo Mugnai (ORCID: https://orcid.org/0000-0003-4733-9418)
- Flavio Luciano Ribichini (ORCID: https://orcid.org/0000-0002-6662-0304)
- Alessandra Cristofaletti
- Matteo Ciuffreda
- Bruna Bolzan (ORCID: https://orcid.org/0000-0002-6250-3581)
- Elena Franchi (ORCID: https://orcid.org/0000-0001-6217-2914)
- Giovanni Battista Luciani (ORCID: https://orcid.org/0000-0003-0931-018X)
Institutions
- University of Verona (IT)
Publication Details
- Journal
- Pacing and Clinical Electrophysiology
- Published
- 2025-09-17
- DOI
- https://doi.org/10.1111/pace.70058
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00