Shifting paradigms in ICD tachytherapy deactivation in the final phase of life: eighteen years of perspective

Despite improvements in anticipatory tachytherapy deactivation practices, a plateau has been reached. Many deactivations still occur on the final day of life, underscoring the need for earlier and more proactive counselling. Integrating deactivation discussions into routine care, particularly for heart failure patients, will be essential to ensure patient-centered advance care planning.