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Lead Management & Lead Extraction
Sessions

Lead Management Sessions
019
052
117
145

How To Manage Device Leads and Recalls
Managing Lead Nightmares
What Do I Do With This Lead?
Breaking Bad - How to Diagnose, Avoid and Mange Lead Issues

Lead Extraction Sessions
040
048
112
125
153

Rapid Fire: Challenging CRT Cases
Rapid Fire Cases: Clinical EP from Lab to Floor and Beyond
Practical Approach to the Use of New Tools and Techniques in Complex Ablation
and Device Implantation Procedures
CRT Boot Camp - Tips and Tricks for Implantation and Follow-up
Special Considerations for Challenging Lead Extractions

LEAD MANAGEMENT
How-To
019 How To Manage Device Leads and Recalls
Thursday, May 11, 2017 8:00 AM - 9:30 AM
Session Description: This session will focus on lead management issues from spotting lead
fractures or insulation breaks, remote monitoring and early recognition of potential problems
to discussion of when to extract.
Learning Objectives 1: To discuss indication for extraction of recalled leads
Learning Objectives 2: To outline standardized follow up of leads/devices with appropriate
recognition of impending problems
Learning Objectives 3: To identify markers of impending lead failure early by remote
monitoring
Presentation
Chair

Name
Helen M. McFarland, RN.
University of Michigan, Ann
Arbor, MI
Why Do Leads Fail? What Have We Learned From
Rutuke K. Patel, PA-C. Temple
Previous Recalls and Industry Reports
University Hospital, Philadelphia,
PA
Remote Monitoring of CIEDs-Interpreting Lead Trends and Lynn M. Brewer, CCDS. The
Other Diagnostics to Catch Problems Early
Heart Group of Lancaster
General Health, Lancaster, PA
Indications for Lead Extraction of the Recalled Lead-Is
Scott Kruchan, RN, BSN, CCDS.
There New Information Out There?
Cleveland Clinic, Cleveland, OH
Lead Extraction-Patient and Lab Prep, Risks, Reimplant
James Kulig, PA-C. Brigham and
Considerations
Women's Hospital, Boston, MA

Case Based Tutorial
052 Managing Lead Nightmares
Thursday, May 11, 2017 4:30 PM - 6:00 PM
Session Description: Interactive case based session where expert faculty will present cases
from their practices to illustrate aspects of complex CIED lead issues and management.
Learning Objectives 1: To discuss approaches to complex CIED lead management.
Learning Objectives 2: To outline steps for optimal CIED lead management
Learning Objectives 3: To identify options related to complex CIED lead management.
Presentation
Chair

Name
Steven P. Kutalek, MD, FHRS,
CCDS. Drexel University College of
Medicine - Hahnemann University
Hospital, Philadelphia, PA
Chair
Thorsten Lewalter, MD, PhD.
Hospital Munich-Thalkirchen Peter Osypka Heart Center,
Munich, Germany
A Patient With Defibrillator Lead Noise - I Wish I Knew Andrew E. Epstein, MD. University
Now What I Didn't Know Then
of Pennsylvania, Philadelphia, PA
A patient with an ICD and ineffective for shock therapy Francois Philippon, MD, FHRS.
Quebec Heart Institute, Ste-foy,
QC, Canada
A patient with complex venous access - how I solved the Maria Grazia Bongiorni, MD.
problem.
University Hospital of Pisa, Pisa,
Italy
A patient with failed optimal LV lead placement - what Seth J. Worley, MD, FHRS. The
now?
Heart and Vascular Institute of
Lancaster General Hospital,
Lancaster, PA

Case Based Tutorial
074 Case-based Discussion - What Do I Do With This Lead?
Friday, May 12, 2017 8:00 AM - 9:30 AM
Session Description: This case-based discussion will answer the question, what do I do with this
lead?
Learning Objectives 1: To discuss approaches to managing chronically implanted leads.
Learning Objectives 2: To outline steps involved with deciding on lead extraction.
Learning Objectives 3: To identify options for chronic lead management.
Presentation
Chair

Chair

Lead management in inpatients with complex anatomy
where extraction may not be the best option
A lead extraction case where the surgeon needs to be
involved in operative planning - Surgical Perspective
Should an SVC balloon be the new standard of care? A
case illustration.
How device diagnostics can aid in making good decisions
- a case where the lead is not the issue.

Name
Peter J. Kudenchuk, MD, FHRS,
CCDS. University of Washington,
Seattle, WA
Sergio G. Thal, MD, CEPS.
Southern Arizona VA Health Care
System, Tucson, AZ
Kimberly Selzman, MD, MPH,
FHRS. Salt Lake City VA Hospital,
Salt Lake City, UT
Charles Kennergren, MD, PhD,
FHRS. Sahlgrenska University
Hospital, Gothenburg, Sweden
Jude Clancy, MD. Yale University
School of Medicine, New Haven,
CT
Charles Swerdlow, MD, FHRS,
CCDS. Cedars-Sinai Medical
Center, Los Angeles, CA

How-To
145 Breaking Bad - How to Diagnose, Avoid and Mange Lead Issues
Saturday, May 13, 2017 8:00 AM - 9:30 AM
Session Description: How to diagnose, avoid and mange CIED lead issues.
Learning Objectives 1: To discuss how to evaluate lead integrity
Learning Objectives 2: To outline the steps involved in lead evaluation
Learning Objectives 3: To identify features that predict lead survival and failure
Presentation
Chair
Chair

How I use device diagnostics to make the best decisions
for my CIED patients.
What implanters should know about lead design to
minimize longterm complications.
My implant technique pearls for optimal longterm lead
performance.
My approach to assessing and managing lead
externalization.

Name
Fred M. Kusumoto, MD, FHRS.
Mayo Clinic, Jacksonville, FL
John A. Andriulli, DO, CCDS.
Cooper University Hospital,
Camden, NJ
Charles Swerdlow, MD, FHRS,
CCDS. Cedars-Sinai Medical
Center, Los Angeles, CA
John R. Helland, BSME. St. Jude
Medical, Sylmar, CA
Raghuveer Dendi, MD. University
of Kansas Medical Center, Kansas
City, KS
Madhu Reddy, MD. University of
Kansas Medical Center, Kansas
City, KS

LEAD EXTRACTION
Rapid Fire Cases
C-040 Rapid Fire: Challenging CRT Cases
Thursday, May 11, 2017 10:30 AM - 12:00 PM
Session Description: This session will cover 6 challenging CRT related cases. An expert panel will
review treatment options and offer insightful commentary.
Learning Objectives 1: To discuss the management of infected leads in patients with anatomical
challenges.
Learning Objectives 2: To outline data regarding the use of CRT-P vs CRT-D.
Learning Objectives 3: To identify patients that may benefit from cardiac resynchronization
therapy.
Presentation
Chair

Name
Charles A. Henrikson, MD, FHRS.
Oregon Health and Science
University, Knight Cardiovascular
Institute, Portland, OR
J. Rod Gimbel, MD. Case Western
Reserve University, Cleveland, OH

My 80 yo patient with CHB, EF < 35%, DDD pacemaker
is due for replacement- CRT-P or CRT-D?
Panel Discussion Q & A
My pacemaker patient is referred for upgrade to CRT-D Uma N. Srivatsa, MD, FHRS.
- extract or cap the old lead?
University of California - Davis
Medical Center, Sacramento, CA
Panel Discussion Q & A
My patient referred for CRT has a RBBB -what device
Ashish A. Bhimani, MD. University
should I implant?
of Texas Galveston, Galveston, TX
Panel Discussion Q & A
My patient referred for ICD and lead extraction with
Dina Sparano, MD. University
staph sepsis has an epicardial LV lead - what to do?
Hospitals Case Medical Center,
Cleveland, OH
Panel Discussion Q & A
Panel Discussion Q & A
My patient with ESRD, left AV fistula, right sided CRT-D Joshua M. Cooper, MD, FHRS.
is dependent and infected? What is my approach?
Temple University Hospital,
Philadelphia, PA
Panel Discussion Q & A

Panelist

Panelist
Panelist

Emile G. Daoud, MD, FHRS. The
Ohio State University, Columbus,
OH
Jane Chen, MD, FHRS. Orlando VA
Medical Center, Orlando, FL
Mina K. Chung, MD, FHRS.
Cleveland Clinic, Cleveland, OH

Case Based Tutorial
048 Rapid Fire Cases: Clinical EP from Lab to Floor and Beyond
Thursday, May 11, 2017 4:30 PM - 6:00 PM
Session Description: Case based interactive format provides review of clinical EP topics
including complication recognition and treatment, syncope, and lead extraction.
Learning Objectives 1: To discuss appropriate indications and risks/benefits of lead extraction.
Learning Objectives 2: To outline appropriate management of syncope.
Learning Objectives 3: To identify the signs of EP lab complications and discuss treatment.
Presentation
Chair

Chair

EP procedure complication
Syncope/POTS/IST

Hemodynamic monitoring/support in EP lab
Lead Extraction Case

Panelist

Panelist

Panelist

Name
Heather M. Ross, DNP, ANP-BC,
FHRS, CCDS, CEPS. Arizona
Arrhythmia Consultants,
Scottsdale, AZ
Aileen M. Ferrick, RN, PhD, ACNP,
FHRS. Westchester Medical
Center, Hawthorne, NY
Justina Antonio, PA-C. Monetfiore
Medical Center, Bronx, NY
Andrea Schell, PA-C. Hospital of
the University of Pennsylvania,
Philadelphia, PA
Erin E. Flatley, BSN, MSN.
University of Chicago, Chicago, IL
David J. Orenstein, Biomedical
Technology. Hadassah Medical
Center, Jerusalem, Israel
Gerilynn M. Schott, MSN, CRNP.
University of California - San
Francisco, San Francisco, CA
James Armstrong, PA-C. St.
Elizabeth's Medical Center,
Boston, MA
Monica Pammer, PA-C. University
of Pennsylvania, Philadelphia, PA

Featured Symposium
C-112 Practical Approach to the Use of New Tools and Techniques in Complex Ablation and
Device Implantation Procedures
Friday, May 12, 2017 8:00 AM - 9:30 AM
Session Description: With expanding techniques and tools for complex ablation and device
implantation procedures, a variety of different approaches may be adopted at different
centers. The “tricks of the trade” will be shared from around the globe in this joint session.
Learning Objectives 1: To describe use of new techniques and tools for complex ablation
procedures for ventricular tachycardia and atrial fibrillation
Learning Objectives 2: To illustrate techniques of implanting leadless pacing systems while
minimizing complications
Learning Objectives 3: To identify contemporary approaches and the latest tools for lead
extraction
Presentation
Chair

Chair
My Approach: Use of New Catheter Technology During
Ablation of Ventricular Arrhythmias
My Approach: Use of New Catheter Technology During
Ablation of Ventricular Arrhythmias
My Approach: Leadless Pacemaker Implantation
My Approach: New Tools for Lead Extraction
Panelist
Panelist

Name
Andrea Sarkozy, PhD, MD. University
Hospital of Antwerp, Edegem,
Belgium
Andrea M. Russo, MD, FHRS. Cooper
University Hospital, Camden, NJ
Usha B. Tedrow, MD, MS, FHRS.
Brigham and Women's Hospital,
Boston, MA
Sabine Ernst, MD. Royal Brompton
Hospital, London, United Kingdom
Theofanie Mela, MD. Massachusetts
General Hospital, Boston, MA
Maria Grazia Bongiorni, MD.
University Hospital of Pisa, Pisa, Italy
Cecilia M. Linde, MD, PhD. Karolinska
Institute, Stockholm, Sweden
Jeanne E. Poole, MD, FHRS, CCDS.
University of Washington, Seattle,
WA

Case Based Tutorial
125 CRT Boot Camp - Tips and Tricks for Implantation and Follow-up
Friday, May 12, 2017 4:30 PM - 6:00 PM
Session Description: This session will discuss tips and tricks for CRT implantation and follow-up.
This highly educational session will provide practical suggestions for trouble shooting.
Learning Objectives 1: To identify implantation related problems in CRT patients.
Learning Objectives 2: To discuss how to manage complications.
Learning Objectives 3: To discuss how follow-up
Presentation
Chair

Chair

I can't implant the LV lead in an adequate, stable position

Everything went well but my patient is not responding

How to reduce the number of appropriate shocks in a
patient with CRT-D
Coronary sinus lead extraction

Name
J. Lacy Sturdivant, MD. Medical
University of South Carolina,
Mount Pleasant, SC
Bulent Gorenek. Eskisehir
Osmangazi University Hospital,
Eskisehir, Turkey
Jagmeet P. Singh, MD, PhD,
FHRS. Massachusetts General
Hospital, Boston, MA
John P. Boehmer, MD. Penn
State College of Medicine and
Surgery, Hershey, PA
Bulent Gorenek. Eskisehir
Osmangazi University Hospital,
Eskisehir, Turkey
Roger G. Carrillo, MD, FHRS,
CCDS. University of Miami,
Miami, FL

Core Curriculum
153 Special Considerations for Challenging Lead Extractions
Saturday, May 13, 2017 10:30 AM - 12:00 PM
Session Description: The purpose of this session will be to review the approach to challenging
lead extractions. This session is intended for audiences that routinely perform extractions.
Potential session talks:1. When not to extract2. Leads that require special consideration during
extraction3. Advanced imaging: how to recognize leads within the lumen or adherent to SVC
wall4. Managing complications: alternative approaches to vascular tears with vascular stenting.
5. Debate: Pro vs. Con - To Pull or not to Pull: Managing redundant leads
Learning Objectives 1: To identify high risk features that should sway extractors away from
recommending percutaneous lead extraction
Learning Objectives 2: To identify potentially challenging leads that require special preparation
during percutaneous extraction
Learning Objectives 3: To discuss pros and cons of managing redundant leads - knowing when
extraction makes most sense
Presentation
Chair

Name
Roger G. Carrillo. University of
Miami, Miami, FL
Chair
Jonathan P. Piccini, MD, MHS,
FHRS. Duke University Medical
Center, Durham, NC
Concerning Clinical features: when to defer percutaneous Bruce L. Wilkoff. Cleveland Clinic,
extraction
Cleveland, OH
Using imaging to guide percutaneous extraction
Robert D. Schaller, DO. Hospital
of the University of Pennsylvania,
Philadelphia, PA
Leads that require special consideration during extraction Charles A. Henrikson. Oregon
Health and Science University,
Knight Cardiovascular Institute,
Portland, OR
Managing Redundant Leads - When not to Extract
Laurence M. Epstein. Brigham
and Women's Hospital, Boston,
MA
What We Can Learning from Measuring Extractor’s
JoEllyn C. Moore, MD.
Performance
Minneapolis Heart Institute,
Minneapolis, MN



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Create Date                     : 2017:01:30 13:56:32-05:00
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