Session V: Clinical Scenarios/Device Management-6158-Implantable Devices- Evaluation, Management and Troubleshooting

Video Transcription

Video Summary

In this lecture, the speaker provides an overview of device evaluation, management, and troubleshooting in the field of electrophysiology. They discuss important topics and evolving areas related to device implantation, such as guidelines and indications for different device types. They also cover the management of specific patient groups, including those with ventricular arrhythmias, hypertrophic cardiomyopathy, and neuromuscular disorders. The speaker emphasizes the importance of understanding device selection and programming based on individual patient characteristics. They discuss the different types of pacing, including his bundle pacing and left bundle branch area pacing, and the factors that can affect pacing efficacy. The speaker also provides insights into device troubleshooting, highlighting the importance of recognizing abnormal electrogram patterns, diagnosing the source of oversensing or undersensing, and managing frequent shocks or other device-related issues. They discuss key points to consider when managing patients with device-related infections, including the need for complete removal of the device system and appropriate antibiotic treatment. The speaker also touches on topics such as lead extraction complications, device-related infections, and differentiating between different arrhythmias using electrogram analysis. They conclude the lecture by providing an overview of CRT management, including patient selection, lead positioning, and programming optimization. They discuss the challenges and potential solutions for non-responsiveness to CRT therapy, and stress the importance of individualized patient management based on specific clinical considerations. Overall, the lecture provides a comprehensive overview of device evaluation, management, and troubleshooting in the field of electrophysiology.

Keywords

device evaluation

device management

device troubleshooting

electrophysiology

device implantation

guidelines

indications

pacing

electrogram analysis

device-related infections

CRT management