1. The Future of Cardiac Devices: New devices, indications and ways to use
Jeff Healey MD, MSc, FHRS
Director of Arrhythmia Service
PHRI Chair in Cardiology Research
McMaster University

3. The Lead is the Weakest Part of the ICD System

4. A new category of implantable defibrillators
Transvenous (TV) ICDs
The S-ICD System
Provides effective defibrillation for ventricular tachyarrhythmias
Provides Brady pacing
Provides ATP for patients with incessant monomorphic VT
Provides atrial diagnostics
Familiar implant technique
No risk of vascular injury
Low risk of systemic infection
Preserves venous access
Avoids risks associated w/ endovascular lead extraction
Fluoroscopy not required

5. S-ICD in clinical practice

6. Leadless Pacing Medtronic Micra; NEJM 2015

7. Implantable Monitoring
Smaller devices
Improved diagnostics
Outpatient implant
Wireless telemetry
Increased cost