Guest: Nicholas Tan, M.D., M.S.
Host: Anthony Kashou, M.D.
In this episode of the “ECG Making Waves” phase of Mayo Clinic’s cardiovascular podcast collection “Interviews with the Experts,” Dr. Nicholas Tan joins us to debate conduction system pacing. The listener will hear in regards to the fundamentals and rationale of conduction system pacing, in addition to medical situations the place it ought to be thought-about.
Topics Discussed:
• How does conduction system pacing (or CSP) differ from typical technique of pacing?
• In broad strokes, how is CSP carried out?
• In what conditions would you contemplate doing CSP?
• Are there any dangers or uncertainties concerning CSP?
00:00 Making Waves podcast introduction
00:30 Episode subject: conduction system pacing
01:04 Guest introduction: Dr. Nicholas Tan
02:06 Conventional pacing vs conduction system pacing
02:29 How the guts’s conduction system works
03:15 Traditional lead placement and why
04:02 Why non-physiologic pacing can hurt
04:30 What “conduction system pacing” means
05:13 How CSP is carried out within the lab
06:55 Finding the septum + confirming seize
07:10 When to decide on CSP vs conventional pacing
07:26 CSP because the default strategy
08:03 RV pacing cardiomyopathy threat dialogue
08:22 Safety benefits of septal placement
08:54 Risks and uncertainties of CSP
09:08 Septal perforation and stroke threat
10:13 Long-term concern: lead extraction
11:25 Key takeaways and episode recap
12:14 Podcast wrap-up and subscription information
12:55 CME invitation and course choices
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