CONGRESS ABSTRACT

Background Leadless intracardiac pacemakers have been developed to reduce complications associated with conventional cardiac implantable electronic devices (CIEDs), particularly pocket- and lead-related complications, including infections, lead dislodgement, fracture, and system-related septicemia Methods From September 2022 to December 2025, 63 leadless pacemakers were implanted in our center: 30 single-chamber devices,…

Erdheim–Chester disease (ECD) is a rare systemic non- Langerhans cells histiocytosis of unknown etiology characterized by multiorgan xanthomatous infiltration by foamy histiocytes. Cardiovascular involvement in ECD is frequent, at level of the right atrium and superior vena cava. We present the case of a 67-year-old woman with history of…

Background Growing evidence supports omitting defibrillation testing (DFT) during subcutaneous ICD (S-ICD) implantation. The PRAETORIAN score, based on two-view chest X-ray findings, accurately predicts defibrillation efficacy, allowing clinicians to avoid discomfort and risks associated with DFT. However, certain anatomical variations may limit its applicability. Case presentation We present the…

BACKGROUND: In hypertrophic cardiomyopathy (HCM), an implantable cardioverter-defibrillator (ICD) is a Class I recommendation according to ESC guidelines after resuscitated ventricular fibrillation. In young patients, however, decades of exposure to transvenous leads translate into a meaningful risk of lead failure, venous obstruction and infections. Subcutaneous ICDs avoid the vascular…

A 67-year-old man was referred for catheter ablation and permanent pacing due to symptomatic bradycardia–tachycardia form of sinus node dysfunction (SND), characterized by paroxysmal atrial fibrillation (AF), intolerance to antiarrhythmic therapy related to sinus bradycardia and chronotropic incompetence. Transthoracic echocardiography demonstrated preserved left ventricular systolic function and a markedly…

BACKGROUND: Managing patients who require both atrial pacing and sudden cardiac death (SCD) prevention is challenging, especially in young individuals who may face repeated device implantations. Combining a leadless atrial pacemaker with a subcutaneous defibrillator (S-ICD) can provide effective atrial pacing with preserved arrhythmic protection, minimizing infective and procedural…

Patient Presentation A 77-years old man with a recent hospitalization for a late presentation myocardial infarction was discharged with a severe compromission of the ventricular ejection fraction. During the cardiovascular rehabilitation he developed an episode of SVT with hemodynamic instability treated with RCP with rapid ROSC. Then he accessed…

Background: Remote monitoring (RM) of insertable loop recorders (ILRs) generates high volumes of transmissions, often increasing clinic workload. We evaluated the impact of cloud-based AccuRhythm™ AI algorithms combined with structured nursing oversight on transmission volume and clinical workload. Methods: Retrospective analysis of 103 consecutive patients implanted with LINQ II…