This Used to Be Easy: Choosing the Right Device for the Right Patient-This Used to Be Easy: Choosing the Right Device for the Right Patient

Video Transcription

Video Summary

In the extended session, several medical experts presented their insights on modern approaches to implantable cardiac devices, highlighting the distinct benefits and challenges associated with different types of implantable cardioverter-defibrillators (ICDs) and pacemakers. Pierre Lambiazzi emphasized the novel advancements and data supporting the use of subcutaneous ICDs, notably their success in averting lead-related complications seen in transvenous systems. Embracing versatility, Lambiazzi also highlighted the supplementary leadless pacemaker technology, which allows for additional pacing functionality, thus broadening patient-specific options. <br /><br />Dr. Rhea Pimentel shared a case study about a young female athlete with congenital complete heart block, navigating complex decision-making regarding device implantation options. With a particular emphasis on improving patient quality of life and minimizing future interventions, she opted for a leadless pacemaker, setting a precedent for evolving patient-centered treatment strategies.<br /><br />Lastly, Anne-Sophie Lecherich-Roberge explored the nuances in selecting pacing devices for patients with sick sinus syndrome against a backdrop of abundant technology, advocating robust discussions to tailor optimal interventions to patient needs.<br /><br />The Q&A session further delved into considerations regarding device choice for patients with unique arrhythmic profiles and the promising future of collaborative heart team conferences in ensuring balanced decision-making.

Keywords

implantable cardiac devices

ICDs

pacemakers

subcutaneous ICDs

leadless pacemaker

patient-centered treatment

congenital complete heart block

sick sinus syndrome

heart team conferences