What happens during an implantable cardioverter defibrillator procedure?
Cardiologist Dr. Mehrdad Kevin Ariani explains what happens during an implantable cardioverter defibrillator (ICD) procedure. Watch this Ask the Experts video for tips and information on heart health.
We thread two, and sometimes, three leads-- electric leads inserted at different places in the heart.
Well, patients are brought into the operating room, sometimes in a cardiac catheterization laboratory.
They are sedated, not fully anesthetized with anesthesiologist or by myself.
There is a vein that travels under our clavicle, basically here.
And under guidance of fluoroscopy, we thread two, and sometimes, three leads--
electric leads inserted at different places in the heart. After that's done, the leads have
to be connected to a generator, which is the defibrillator-- the box that you have seen. So for that, we create a pocket, basically.
An incision is made on the skin, and a pocket is created. The leads are connected to the generator,
to the battery that will be placed inside the pocket. And then the pocket will be sutured,
and that will be the end of it. It's basically a short procedure.
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