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.