EP on EP Episode 54 - S-ICD Pros and Cons-EP on EP Episode 54

Video Transcription

Video Summary

In this segment, Eric Prestowski interviews Dr. Michael Gold about subcutaneous ICDs (implantable cardioverter defibrillators). The original defibrillators were simple shock boxes, but over time, lead problems became a limitation of transvenous ICDs. The subcutaneous ICD was developed as a non-vascular system that can effectively defibrillate the heart. Initially used in specific patient populations, it is now being used as a substitute for single-chamber ICDs. However, cost remains an issue, as upfront costs are high. Future developments may involve combining subcutaneous ICDs with leadless pacemakers. Overall, subcutaneous ICDs are a viable option for patients who do not need pacing or CRT.

Keywords

subcutaneous ICDs

implantable cardioverter defibrillators

lead problems

transvenous ICDs

cost