#HRS2023 #2023PaceSetter
@wilzawall and @MaullyShah debating preemptive ablation vs abandonment of unnecessary leads in pediatric/congenital patients
Wilson opens with a very balanced perspective
Running through the various factors that play into the decision
Now Maully starting off singing the praises of her opponent, and then into a case example
Dramatic pivot in the example case
Review of lead binding
So what’s the balance? Probably depends
Prior sternotomy not protective against SVC/innominate injury
Back to the clinical case that had post extraction TR (but ultimately doing well) and thoughts about tricuspid valve interactions
Importance of implant prior to 12 years of age as a risk factor
Lead design factors and initial conclusions from @MaullyShah
Rebuttal from Wilson
Rebuttal from Maully showing thought process on some provocative cases (part 1)
More provocative cases
Wrapping up rebuttal cases
Following this was great discussion including suggestion that routine implants < 25 kg should be epicardial
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