How is an S-ICD implanted?

How is an S-ICD implanted?

The S-ICD is implanted under the skin and fat in the side of your chest wall under your arm. A lead is tunneled under the skin to the middle of the chest near your breastbone, and then up towards your neck. The system is tested to make sure it is working like it should.

Where do you place an ICD?

Generally, if you are right-handed, the device will be placed in your upper left chest. S-ICDs are implanted on the left side of the chest near the heart. If you are left-handed, or have a contraindication to a left-sided device a traditional ICD can be placed in your upper right chest.

What is the difference between ICD and S-ICD?

A subcutaneous implantable cardioverter-defibrillator (S-ICD) is a less invasive alternative to a traditional ICD . The S-ICD device is implanted under the skin at the side of the chest below the armpit. It connects it to a sensor that runs along the breastbone.

Is an S-ICD a pacemaker?

Abstract. Background: The subcutaneous implantable cardioverter defibrillator (S-ICD) is a novel implanted defibrillator for the prevention of sudden cardiac death that avoids intravascular access. Use of this device is limited by its inability to provide backup pacing.

What is the recovery time for defibrillator implant surgery?

In general, you should be able to return home the day after your implant procedure. Full recovery from the procedure normally takes about 4 to 6 weeks. Your doctor will provide you with a complete set of instructions to follow once your procedure is completed.

Where do ICD leads go?

The ICD leads are placed into the heart via the central veins and typically screwed into position in the right ventricle. The opposite-end of the intracardiac lead is then screwed into the ICD generator. Once implanted, these leads can sense your own heart’s electrical signals and if too slow, pace accordingly.

How long is S-ICD surgery?

The S-ICD implant surgery typically takes about one hour. An S-ICD consists of a pulse generator and an electrode, which are placed just under the skin, leaving the heart and blood vessels untouched and intact.

What is the criteria for a defibrillator?


  • Survivors of cardiac arrest due to hemodynamically unstable sustained ventricular tachycardia (VT) or FF after evaluation and exclusion of any reversible cause.
  • Structural heart disease, with spontaneous sustained VT whether hemodynamically stable or not.

Is ICD surgery painful?

Some people experience the therapy as painful or uncomfortable. While it might be startling, it means that the EMBLEM MRI S-ICD System may have detected a dangerously fast heart rhythm and delivered the defibrillation therapy you needed to reset your heart’s electrical system.

How many leads does an ICD have?

Just like pacemakers, ICDs can have a single wire or lead in the heart (in the right ventricle, single chamber ICD), two leads (in the right atrium and right ventricle, dual chamber ICD) or three leads (biventricular ICD, one in the right atrium, one in the right ventricle and one on the outer wall of the left …

How many leads does a defibrillator have?

They connect your heart to the rest of the device. Your ICD may have 1, 2, or 3 electrodes. Most ICDs have a built-in pacemaker.

How long does the pain last after an ICD implant?

These symptoms usually get better in 1 to 2 weeks. You may feel a hard ridge along the incision. This usually gets softer in the months after surgery.

How long does it take to recover after an ICD implant?

Is ICD same as pacemaker?

An implantable cardioverter defibrillator (ICD) looks similar to a pacemaker, though slightly larger. It works very much like a pacemaker. But the ICD can send an energy shock that resets an abnormal heartbeat back to normal. Many devices combine a pacemaker and ICD in one unit for people who need both functions.

  • September 12, 2022