Implantable Cardioverter Defibrillator-Related Complications in the Pediatric Population


Address for reprints: Maully J. Shah, M.B.B.S., The Cardiac Center, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Philadelphia, PA 19104. Fax: 215-590-3267; e-mail:


Background: The recognition that implantable cardioverter-defibrillator (ICD) therapy in children can prolong life coupled with the development of smaller devices and transvenous lead technology has increased the number of ICDs implanted in children and young adults.

Methods: ICD complications in the pediatric population are reviewed.

Results: ICD complications in the pediatric population include those related to the implantation procedure, the ICD system, as well as psychosocial issues. Inappropriate ICD therapy and ICD lead failures are the most frequent complications.

Conclusion: Identifying complications is the prerequisite for advances in ICD technology and effective management strategies need to be developed to avoid their recurrence.