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

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