In this essential episode of Rhythm Interventions Unplugged, host Dr Devi Nair (St. Bernard's Medical Center, US) sits down with two leading experts in cardiac device management: Dr Larry Epstein and Dr Robert Schaller. Together, they explore a critical challenge facing electrophysiologists today - managing pacemaker and ICD leads in patients requiring tricuspid valve interventions.

Dr Epstein and Dr Schaller share practical wisdom on when to extract versus abandon leads, highlighting cases where extraction alone improved TR enough to eliminate the need for valve intervention. Learn why a collaborative "heart team" approach is non-negotiable for these complex patients, bringing together electrophysiologists, structural interventionalists, and surgeons for optimal decision-making. From preventative implantation techniques to alternative pacing strategies like leadless pacemakers, this episode delivers actionable insights for managing the growing population at the crossroads of device therapy and structural heart disease.

If you're navigating lead management decisions or working with tricuspid valve patients, tune in for this must-hear conversation.