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Transcatheter Leadless Pacing in Children: A PACES Collaborative Study in the Real-World Setting

Overview of attention for article published in Circulation: Arrhythmia and Electrophysiology, April 2023
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#5 of 1,697)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (95th percentile)

Mentioned by

news
57 news outlets
blogs
3 blogs
twitter
17 X users

Citations

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6 Dimensions

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12 Mendeley
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Title
Transcatheter Leadless Pacing in Children: A PACES Collaborative Study in the Real-World Setting
Published in
Circulation: Arrhythmia and Electrophysiology, April 2023
DOI 10.1161/circep.122.011447
Pubmed ID
Authors

Maully J. Shah, Alejandro A. Borquez, Daniel Cortez, Anthony C. McCanta, Paolo De Filippo, Robert D. Whitehill, Jason R. Imundo, Jeremy P. Moore, Elizabeth D. Sherwin, Taylor S. Howard, Eric Rosenthal, Naomi J. Kertesz, Philip M. Chang, Nandini Madan, Steven P. Kutalek, Benjamin H. Hammond, Christopher M. Janson, V. Ramesh Iyer, Matthew R. Williams

Abstract

Transcatheter Leadless Pacemakers (TLP) are a safe and effective option for adults with pacing indications. These devices may be an alternative in pediatric patients and patients with congenital heart disease for whom repeated sternotomies, thoracotomies, or transvenous systems are unfavorable. However, exemption of children from clinical trials has created uncertainty over the indications, efficacy, and safety of TLP in the pediatric population. The objectives of this study are to evaluate clinical indications, procedural characteristics, electrical performance, and outcomes of TLP implantation in children. Retrospective data were collected from patients enrolled in the Pediatric and Congenital Electrophysiology Society TLP registry involving 15 centers. Patients ≤21 years of age who underwent Micra (Medtronic Inc, Minneapolis, MN) TLP implantation and had follow-up of ≥1 week were included in the study. The device was successfully implanted in 62 of 63 registry patients (98%) at a mean age of 15±4.1 years and included 20 (32%) patients with congenital heart disease. The mean body weight at TLP implantation was 55±19 kg and included 8 patients ≤8 years of age and ≤30 kg in weight. TLP was implanted by femoral (n=55, 87%) and internal jugular (n=8, 12.6%) venous approaches. During a mean follow-up period of 9.5±5.3 months, there were 10 (16%) complications including one cardiac perforation/pericardial effusion, one nonocclusive femoral venous thrombus, and one retrieval and replacement of TLP due to high thresholds. There were no deaths, TLP infections, or device embolizations. Electrical parameters, including capture thresholds, R wave sensing, and pacing impedances, remained stable. Initial results from the Pediatric and Congenital Electrophysiology Society TLP registry demonstrated a high level of successful Micra device implants via femoral and internal venous jugular approaches with stable electrical parameters and infrequent major complications. Long-term prospective data are needed to confirm the reproducibility of these initial findings.

X Demographics

X Demographics

The data shown below were collected from the profiles of 17 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 12 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 12 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 2 17%
Professor > Associate Professor 1 8%
Unspecified 1 8%
Unknown 8 67%
Readers by discipline Count As %
Medicine and Dentistry 3 25%
Unspecified 1 8%
Unknown 8 67%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 441. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 June 2023.
All research outputs
#65,495
of 25,914,360 outputs
Outputs from Circulation: Arrhythmia and Electrophysiology
#5
of 1,697 outputs
Outputs of similar age
#1,766
of 425,640 outputs
Outputs of similar age from Circulation: Arrhythmia and Electrophysiology
#1
of 20 outputs
Altmetric has tracked 25,914,360 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,697 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 17.1. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 425,640 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 20 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.