2/7/2024 0 Comments Hemal radiaIt is easy to kappa League and add leads. Implantation and we'll talk about the reasons behind that. I'll show you I'll share with you some data to say that the rate of infection is increasing exponentially when you compare it to the rate of C. Certainly infection is probably the most common reason why leads are and devices are taken out and infection. And so lead malfunction, whether it's lead fracture, uh insulation issues or the actual breakdown of components of the lead is an important part of what we do when we talk about lead management. Listen, everyone knows everyone who implants, devices knows that the achilles heel of trans venous side therapy is the lead itself. So for example malfunction every few months I get an email or I get a phone call from one of my device partners that says, hey, you know, we're releasing a warning or God forbid even a recall on certain types of devices and our leads and this is what our recommendation is. What does that mean? Well as you can imagine there are a number of situations that come up today that would require lead management. And then one of the research interests that I have had over the last few years is can we incorporate imaging into lead extraction? How can imaging help us to become better and safer extractors to the growing need for lead management. I'd like to show you some data and compared to the common other procedures we do in in cardio cardiology and I think everyone will realize the lead extraction is actually very safe and effective procedure. I think amongst sort of referring physicians and referring cardiologist, lead extraction is considered by many to be this high risk procedure. Talking about the safety and efficacy of lead extraction. What are the risks of Capping vs extraction? Is their their data behind one versus the other. Why is this an important part of electrophysiology expanding indications which helps answer that first question. # one the growing need for lead management. So this morning as Tony mentioned we're going to start with the didactic and the didactic gonna cover a number of issues. This is the disclaimer that we're obligated to show. But you will get a call from your device nurse saying, hey I have an impedance of you know 3000 on this pastry lead, what do you want to do? And so these things will come up very very commonly and so this is why a program like this is extremely valuable. Listen, you know, on day one, when you become an attending no one's gonna, you know, hand you an ablation catheter and say, hey oblate this epic. What do we need to know as electro physiologists about lead management and then why is setting up a lead extraction program? Something to seriously think about when you practice medicine, whether you're an academic medicine or in this, you know, quote unquote private practice world? Certainly I tell my fellows when they train with me. And so it's always good to take a step back and go over wise, lead management extremely important. I know in Chicago, there are a lot of great extractors and lead management professionals, but that's not always the case. ![]() ![]() ![]() I think one of the gaps in fellowship training is lead management and a program like this is extremely valuable because the exposure that I think fellows have to lead management varies depending upon the center that he or she works in. I want to thank Tony Elliott, Elliott and chris Buchanan and the phillips team for setting up this program and for inviting me to speak Um as someone that's been in electrophysiology for over 20 years and I've been a fellowship director for the last 11 years. So as Tony mentioned, it's great to see people in person. Some of a lot of these programs are, most of these programs were shut down. First of all, it's such a pleasure to sort of meet everyone in person after a long time with the covid pandemic. Transitioning to practice and how to introduce Lead Management to your new facility.Bridge Occlusion Balloon and Complication Intervention.Lead Management indications and how to apply them to your practice. ![]() Listen and Learn more about the following:
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