Leadless Pacemakers and Extravascular ICDs

Guest: Alan M. Sugrue, M.B., B.Ch., B.A.O.

Host: Sharonne Hayes, M.D.

This episode of “Interviews With the Experts” explores how leadless pacemakers and extravascular ICDs are redefining device therapy by minimizing lead- and pocket-related complications while expanding options for patients with complex anatomy or infection risk. Listeners will learn how these systems differ from traditional transvenous technologies, review key data on safety and efficacy, and understand which patient profiles are best suited for each approach.

Topics Discussed:

How do leadless pacemakers differ from traditional transvenous systems in terms of technology, complication profile, and clinical outcomes?
In which patient populations should leadless pacing be considered as a first-line option?
What are the key design and functional differences between extravascular and subcutaneous ICDs?
What advantages and limitations should clinicians understand when deciding between these two systems?

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Podcast episode transcript found here.

Recorded 21-October-2025