Episode 118: (Inside the EP Lab) Beyond Wires - The Next Generation of ICD Therapy

In this Inside the EP Lab episode, #HRStv host Deepthy Varghese, DNP, ACNP, FNP is joined by Birju Rao, MD, MSci, Michael S. Lloyd, MD, FHRS, and Nathan Yenerich, BS, to break down how ICD therapy is evolving—moving beyond traditional transvenous systems toward smarter, safer solutions. From the S-ICD to the FDA-approved EV-ICD, the discussion highlights how clinicians are delivering life-saving protection with fewer complications and greater procedural precision. In this episode, we explore: • The evolution of ICDs—from epicardial patches to extravascular placement • Patient selection, pre-implant screening, and procedural considerations • Anesthesia and pain management approaches • ICD therapies and advances in remote monitoring Additional Resources https://doi.org/10.1007/s00399-018-0602-y https://doi.org/10.1007/s10840-020-00810-1 https://doi.org/10.1016/j.hrcr.2025.01.014 https://doi.org/10.1016/j.hrthm.2024.08.012 https://doi.org/10.19102/icrm.2020.110504 https://doi.org/10.1016/j.hrthm.2025.01.034 https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.071795 https://www.medtronic.com/en-us/healthcare-professionals/products/cardiac-rhythm/implantable-cardioverter-defibrillators/aurora-ev-icd-system.html  https://www.bostonscientific.com/en-US/products/defibrillators/emblem-s-icd-system.html?utm_campaign=cg-crmdx-us--sicd-crmdx_sicd-ep-&utm_source=google&utm_medium=cpc&utm_source_detail=n&utm_content=branded&gad_source=1&gad_campaignid=22739893562&gbraid=0AAAAAprcSkYUH0nW-sGJqqC3WR31ldG1T&gclid=Cj0KCQjwwZDFBhCpARIsAB95qO04PsXtg9B0U__0cx9J-Q-Kf8uEujxU6807ARtreoJZa2Tn5OVBgSYaAqp4EALw_wcB Want to explore more content? Catch the full video versions and more on our channel – [Heart Rhythm TV].