Introduction
Progressive pump failure and malignant ventricular arrhythmias are the leading causes of death in patients with advanced heart failure with HFrEF. In patients with refractory HFrEF despite optimal guideline-directed medical therapy, an LVAD, may be implanted as either a bridge to heart transplantation or destination therapy for non-candidates of heart transplant. These patients often meet recommended indications for an ICD as primary prevention of sudden cardiac death1. Therefore, many patients with HFrEF have both devices implanted. Electromagnetic interference (EMI) between LVAD and ICD may result in an inability to make a telemetric link for interrogation, or cause an inappropriate shock, or fail to deliver an appropriate shock. We describe a unique and convenient technique to increase the distance between LVAD and ICD, eliminating their interaction to allow successful interrogation of the ICD.