You will lie on a bed, and the nurse will start an intravenous (IV) line in a vein in your arm or hand.
To prevent infection and to keep the device insertion site sterile:
- You will receive an antibiotic through the IV at the beginning of the procedure
- One side of your chest will be shaved
- The area will be cleansed
- You will be covered from your neck to feet with sterile drapes
- A soft strap may be placed across your waist and arms to keep your hands from touching the sterile area
Yes. A medication will be given through your IV to relax you and make you feel drowsy, but you will not be asleep during the procedure.
The ICD is usually implanted using the endocardial (transvenous) approach. During the procedure, a local anesthetic is injected to numb the area.
Small incisions are made in the chest where the lead(s) and device are inserted. The lead is inserted through the incision and into a vein, then guided to the heart with the aid of the fluoroscopy machine. The tip of the lead is attached to the heart muscle, while the other end is attached to the pulse generator. The generator is placed in a pocket created under the skin in the upper chest.
When the endocardial approach is used, the hospital recovery time is generally 24 hours.
The device implant procedure may last around 2 hours.
Yes. You will be admitted to the hospital and stay overnight after the procedure.
You will probably be able to go home the day after your device was implanted, unless the epicardial approach was used during the procedure.