AICD Implantation Cost in India

Last Modified: November 17, 2020  |   Created on: August 7, 2018
Heart

AICD Implantation Price in India

  • The cost of AICD Implantation in India ranges from USD 9000 – 13500. 
  • The AICD surgery hospitals in India promise unparalleled health treatments at low-cost packages.
AICD Implantation Price No. of Travelers Days in Hospital Total Days in India
USD 9,000 2 2 7
The cost of Automatic Implantable Cardioverter Defibrillator (AICD) placement depends upon various factors such as:
  • Type and quality of defibrillator used
  • The type of hospital room preferred
  • Experience of the surgeon
  • Cost of medicines and other consumables
  • Management of post-surgery complications
  • Total duration of hospital stay
  • Rehabilitation and physical therapy costs

The following table indicates the cost of AICD implantation around the world:

AICD Cost includes Device and Surgery Expenses
IndiaThailandSpainUSA
$9000$15000$45000$70000

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What is AICD?

AICD is an electronic device implanted near the heart to track the heart rhythm. It is type of pacemaker device, which helps deliver anti-tachycardia pacing and shocks to the heart. It corrects ventricular fibrillation and ventricular tachycardia. All major cardiac specialty hospitals, and several multi-specialty hospitals, have the facility for conducting surgery for Automated implantable cardioverter defibrillator (AICD) Implantation.

One should look for an experienced cardiac surgeon for a major surgery like AICD. The best surgeons works in close association with the hospitals to impart affordable AICD implantation surgery in India. As a patient, it is important to verify the credentials and experience of the surgeon before opting for the procedure.

How can Lyfboat assist you getting AICD implantation Surgery in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

What are the components of AICD?

An AICD is an electronic device that consists of the following components:

  • A small box containing a battery and a computer chip. This box is implanted close to the heart and is capable of recording and monitoring heart rhythm.
  • Leads or wires that are connected to the surface of the heart on its one end and to the box at the other end. These leads are capable of sensing the heart rhythm and deliver cardiac shocks to regulate the rhythm.
  • The pulse generator is an important part of the ICD box. It is implanted beneath the skin of the chest or abdomen. The pulse generator identifies abnormal rhythm and sends electrical impulses to the heart through the leads for regulation of heart rhythm.

It is important to note that an ICD device is programmed to identify faulty rhythm and correct it. Also, It does not prevent it from happening. 

When is AICD used?

An AICD is used to for the treatment of the following disorders:

  • Ventricular fibrillation: This condition is characterized by much faster and erratic heart rhythm (around 300 beats per minute). The electrical action is severely disrupted. As a result, an insufficient amount of blood is pumped from the heart. An individual with this condition gets unconscious easily and frequently.
  • Ventricular tachycardia: This is a life-threatening condition. The ventricles beat very quickly but the rate is a bit less than that of fibrillation. The fast heart rhythm disrupts the blood flow. Such patients experience dizziness and unconsciousness.

It is indicated for patients who have –

  • Experience an episode (at least) of Ventricular Tachycardia (VT) or Ventricular Fibrillation (Vfib)
  • Prior history of cardiac arrest or abnormal heart rhythm which resulted in fainting or passing out
  • A fast heart rhythm that keeps returning and cannot be treated by surgery; it could cause death
  • A fast heart rhythm that cannot be managed using medications or other methods
  • Serious side effects from medications that are used to treat ventricular conditions

The cardiac surgeons may recommend an AICD implantation in case the child or adult patient is at risk of having a life-threatening ventricular arrhythmia sue to following conditions:

How does an AICD work?

The AICD device constantly monitors the heart rhythm of the patient, identifies when there is an abnormal heart rhythm and determines the appropriate function to make the heartbeat normal again. When there is an abnormal heartbeat, the wires connected to the heart will transmit signals to the pulse generator of the ICD, which then sends tiny electrical pulses to regulate the heartbeat. The doctor will program the AICD depending on the underlying arrhythmia condition and treatment. It includes the following functions:

When the heartbeat is too slow, ICD with a pacemaker feature is used. It works as a pacemaker device and sends electric signals to the heart.

In cases where the heartbeat gets too fast or chaotic, ICD will provide defibrillation shocks to stop these abnormal rhythm.

The patient may feel nothing at all or a small painless fluttering in the chest when the ICD responds to mild problems of heartbeat.

A higher-energy shock is delivered by the ICD in case of serious heart rhythm problems. The shock can be painful, like a kick to the chest, but pain will last only a second. Usually, there is no discomfort after the shock ends.

The device works consistently for 24 hours every day.

The newer devices also have function for overdrive pacing to electrically convert a sustained ventricular tachycardia (i.e. fast heart rhythm) or backup pacing for bradycardia (i.e. slow heart rhythm). A number of sophisticated functions such as storage of detected arrhythmic events, performing electrophysiologic testing and more, are available for different AICD devices. A device might have one or all of these functions:

  • Anti-tachycardia pacing (ATP) – when the heartbeat is too fast. It delivers a series of small electrical impulses to the heart muscle and restore a normal heart rhythm.
  • Cardioversion – Gives a low energy shock at the same time as the heartbeat in order to restore a normal heart rate.
  • Defibrillation – delivers a high-energy shock to the heart muscle when the rhythm is too fast.
  • Bradycardia pacing –delivers small electrical pulses to stimulate the heart muscle when the heart beats too slow.

Before AICD Implantation

There are certain instructions, one should follow before the Implantation, including:

  • Avoid eating or drinking anything at least six hours before the procedure.
  • Inform your surgeon about the drugs or medicines that you are currently taking. It helps manage some other health condition. Follow your surgeon’s advice on which drugs you should take and the ones that you must avoid.
  • Do not take any blood thinning medications for a few days before the surgery.
  • Only take medicines approved by the doctor with a small amount of water.

What happens during AICD implantation?

During the surgery, the surgeon implants the device in a similar manner as that of a pacemaker. The generator that produces electrical impulses is placed in the upper chest area. The venous access is achieved through the subclavian vein. It helps to place the leads that deliver electric shocks.

AICD implantation is a major, yet simple surgery. The procedure lasts for about two hours. It is performed under the influence of a sedative and a local anesthetic. During the procedure, the surgeon makes a small incision in the targeted areas and inserts a tube into the large vein of the body. This tube is used to insert a wire into the lower chamber of the right side of the heart. Sometimes, two wires for the upper and lower chamber of the right side of the heart are used.

The other end of the wire is connected to the ICD box that contains a battery. This box is placed in a small pocket created under the skin. The whole arrangement is tested to check for normal functioning. Once the working of the device is checked, the doctors close the incision with the help of stitches and dressing. The patient is required to stay in the hospital for two to three days after the surgery. During this duration, the overall health of the patient and the working of the device is monitored.

What can be expected after the procedure?

The patient typically needs to stay for 1 or 2 days after the AICD implantation procedure. There will have slight discomfort and some bruising in the area where pacemaker is implanted. This can persist for a few weeks. The bruising might lead to a bluish discolouration over the upper chest and arm, it will subside in some time.

The sterile dressing over the incision for pacemaker placement is usually kept for 6 days. This dressing is to allow the wound to heal enough and as it is waterproof, the patient can take shower without removing the dressing. It can be carefully removed by patient on the 6th day after the procedure. 

It is advisable to avoid strenuous activities including lifting or pulling the arm above the head for around 4 weeks after the procedure. Also, sports and activities such as swimming, play golf, or bowling should also be avoided for 4 weeks. Even after recovery, it is important to protect the AICD device from any trauma or injury while participating in sports.

The doctor will discuss when the patient can start driving based on the underlying heart condition. Patients who have a heart rhythm disturbance are usually disqualified from driving for 6 months. 

Most patients are able to return to work and normal activating within days. But it may vary depending on the nature of job, overall health, and healing progress during the recovery.

What precautions one should take after AICD Implantation?

Following precautions should be taken after Implantation:

  • You should not skip or change the medications prescribed by the surgeon.
  • Strong magnetic fields around things such as metal detectors, audio speakers, and electrical speakers must be avoided. This may turn off ICD device.
  • Mobile phones must not be kept too close to the device.
  • Inform the doctor as soon as you realize the wound or skin around the wounds becomes red or swollen. Any appearance of fluid from the wound must also be informed.
  • Activities such as cycling, swimming, climbing stairs, horse riding, and other contact sports must be avoided.
  • The site of ICD implantation must never be pressurized.

What are the Risks and Complications of AICD Implantation?

Following are the risks and complications of AICD Implantation:

  • Inappropriate shocks (early or late)
  • Device failure
  • Infection at the surgical site
  • Heart failure
  • Perforation
  • Problems with the lead
  • Pocket hematoma
  • Tricuspid valve regurgitation
  • Pneumothorax

Can the AICD batteries wear out?

Yes, the battery can wear out over time. The battery of an AICD pulse generator provides the energy to monitor the heart rhythm, and adjust the pace of the heart by delivering electrical therapy. The duration the battery of AICD pulse generator may last depending on the kind of settings programmed into its system. It is also affected by frequency of therapy the patient receive.

The surgeon can replace the AICD pulse generator by opening the pocket of skin where it is placed. After unplugging the leads from the old pulse generator and checking that the leads are working properly, the new AICD pulse generator is connected to the wires. The surgeon will then close the incision after checking that AICD is working properly. It is a minor operation.

Frequently asked Questions (FAQs)

Q How long can a person live with an automatic implantable cardioverter defibrillator?

Most patients with ICM and DCM who have an implantable cardioverter defibrillator (ICD) live more than seven years. ICD patients with hereditary heart disease can live for decades.

Q What is the recovery time for AICD implant?

Implantation typically takes between one and three hours. The patient has to stay in the hospital for at least 24 hours for recovery and monitoring. He or she should feel fully recovered within four to six weeks.

Q Is AICD implantation a safe procedure?

The device implant is normally considered a very safe procedure. However, all invasive procedure carry certain risks. The doctor will discuss these risks and specific concerns about the procedure. They will take necessary precautions to decrease the risks.

Q Where is the implant procedure performed?

Most implant procedure are performed in the Electrophysiology Lab. In case of an epicardial implant approach, the procedure might takes place in a surgical theatre.

Q Will I be able to travel by air with an AICD implant?

Yes, you can travel by air, but remember to inform security screeners about your ICD before going through the metal detector. You should carry your medical implant card for verifications. The airport security detectors are generally safe for ICDs and pacemakers, but the device and leads have a small amount of metal in them which may trigger the security detector alarm. In case of screening with security wand, you must inform the security personnel that the magnet in the wand may interfere with the programming or functioning of the ICD if it is held over the device for longer than a few seconds.

Q What precautions should I take while going through Anti-theft systems at stores?

Some stores use electronic article surveillance (EAS) or Anti-theft systems that may interact with your AICD. Although it is alright to pass quickly through the detection system, you should be careful so as to not lean on or stand in this equipment.

Q Can I get an MRI if I have an AICD device?

There are some new AICD devices that are compatible with MRI scanners but with certain restrictions. It is recommended to contact your cardiologist first if you have to undergo an MRI scan. Also, remember to stay from the large magnetic fields such as those used in power generation sites or industrial area, such as automobile junkyards with large magnets.

Q Is it safe to use Cell phones?

Mobile or cell phone devices are normally safe to use. However, it is recommended to keep them at least 6 inches away from your AICD device. Also, it is better to not carrying a cell phone in your breast pocket, as it near to your ICD.

Vanshika Rawat

Written By Vanshika Rawat

Vanshika Rawat is an experienced content developer. She is very knowledgeable in the field of science and healthcare and has worked under brilliant scientists during her higher education. Vanshika obtained her degrees in Masters in Science and Bachelors in Science (Microbiology with Hons.) from renowned institutions - Panjab University and University of Delhi.
Dr. Suneet Singh

Verified By Dr. Suneet Singh

Dr. Suneet is a doctor-turned-Hospital Administrator with a rich 12 years plus multi-faceted experience in the field of operations management, Corporate and Public Health Administration. Formerly a practicing doctor, Dr. Suneet holds a post-graduate degree in Hospital and Healthcare management from one of the country's esteemed Tata Institute of Social Sciences (TISS)

The implantation surgery is performed at several top hospitals in the country. It is a complex procedure which requires advanced facilities and monitoring systems in place for successful output. All the necessary technology or equipment are available at the top cardiac hospitals in India. The hospital authorities understand the need for the use the most advanced technology and believe in getting all the required materials or instruments as soon as they are made available. All these factors along with the affordable cost of AICD in Indian Hospitals, contribute in making India a preferred destination for getting treatment, not only for national but also for international patients.

The Cardiac surgeons performing AICD implantation surgery in India, have carved a name for themselves at a global level through their dedicated efforts, patience, and compassion. These specialists are backed by solid educational qualifications and trained from the renowned and prestigious medical institutions of the world.

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