Thank you for viewing this educational presentation introducing data elements that are new to the EP Device Implant Registry version 3.0. The Device Implant X-Plant section is completed for any initial generator implant, generator change, or generator X-Plant and their associated leads. Since number 15794, final device type has been expanded to include extravascular ICD, single chamber transvenous permanent pacemaker, dual chamber transvenous permanent pacemaker, leadless dual chamber permanent pacemaker, leadless left ventricular endocardial pacing, and cardiac contractility modulation. Any one or more of the device types that were implanted at the completion of the procedure are collected. We will now take time to briefly review each new final device type selection. The extravascular ICD system has a lead placed outside of the heart and veins under the sternum or breastbone. A thin wire lead is implanted under the sternum and over the heart. A single chamber transvenous pacemaker is a type of pacemaker that uses one transvenous lead to stimulate either the right atrium or right ventricle of the heart. It is a self-contained generator and lead system that is implanted transvenously. A dual chamber transvenous permanent pacemaker is a type of pacemaker that uses two transvenous leads to stimulate both the right atrium and the right ventricle of the heart. A leadless dual chamber permanent pacemaker is a self-contained transvenous pacemaker generator and electrode system implanted directly into the right ventricle. The device is implanted via ephemeral vein transcatheter approach. It requires no chest incision or subcutaneous generator pocket. Left ventricular endocardial pacing is a treatment for patients with heart failure, severe LV dysfunction, and electrical dyssynchrony. It serves as an alternative therapy to cardiac resynchronization therapy for patients who don't respond to conventional CRT or when it's not possible to place a lead through the coronary sinus. Leadless LV endocardial pacing achieves near simultaneous ventricular activation and resynchronization. The system consists of three components, a submuscular transmitter connected to a subcutaneous battery and an endocardial receiver electrode. The system requires a co-implant for continuous right ventricular pacing. The transmitter and battery detect an RV pacing pulse emitted by the co-implant device, enabling stimulation of the LV endocardium at any location to the electrode. Cardiac contractility modulation is a device-based therapy using electrical impulses to improve contractility and pumping function, primarily for treatment of heart failure. We recognize that CCM is not a pacemaker. However, the permanent pacemaker pathway is selected to abstract implantation of this particular device. Sequence 15781 co-implant device is coded yes when an additional device is implanted into the body regardless of its function. This is only selected when two or more devices are implanted in the same lab visit. The additional device type is specific to EP device implant registry devices. Sequence number 7650, reasons for generator replacement, is a select-all data element and captures the reason or reasons for the generator replacement on the current procedure. The new selection of other is coded when none of the other available selections apply. Sequence number 7670, explant treatment recommendation, captures the planned treatment post-explant of the device at the time of the current procedure. The selection of upgrade is available when the ICD-CRTD pacemaker device has been explanted and a new device with additional or enhanced capabilities has been implanted during the current procedure. Thank you for taking the time to view this presentation.

inter-system care

data entry

STEMI alert

EMS agency

patient transfer

EP Device Implant Registry

extravascular ICDs

leadless pacemakers

cardiac contractility modulation

device upgrades