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Artemis
Electrophysiology

ICD and Combo Device Implantation in Bikaner

Helping your heartbeat in the right sync with ICD and Combo Device Implantation.

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ICD and Combo Device Implantation Procedures

Overview

Artemis Cardiac Centre is one of the most trusted names when it comes to the field of Cardiac surgery. The hospital is a hub of excellence, committed to offering advanced procedures like ICD Combo Device Implantation, for patients with serious arrhythmias and related complications. The treatment plan is curated by our experts with a personalized touch while prioritizing your comfort and ensuring the best outcomes.

Our team strictly adheres to personalized treatment plans because we believe that every individual has unique medical requirements. Throughout your journey from treatment to recovery, we ensure your medical needs are being catered to with a robust approach.

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ICD and Combo Device Implantation

What is ICD and Combo Device Implantation ?

ICD and Combo Device Implantation

An ICD Combo device implantation involves the placement of a combination device that integrates both an implantable cardioverter-defibrillator (ICD) and a pacemaker. The ICD Combo device is a small battery-powered device that is surgically implanted in the chest to treat and manage certain cardiac conditions. This combination is also known as a CRT-D (Cardiac Resynchronization Therapy with Defibrillator) device. This gadget is no less than a boon for people with heart failure, as it allows better control of cardiac arrhythmias and enhances the rhythm of their heartbeats.

Why does one need ICD Combo device implantation?

ICD Combo device implantation may be needed for ensuring the effective management of the following conditions:

  • Heart Failure: It is a serious condition marked by the inefficient functioning of the heart which makes it difficult to pump blood.
  • Ventricular Arrhythmias: An ICD Combo device may be recommended for patients experiencing severe ventricular arrhythmias, such as ventricular fibrillation or sustained ventricular tachycardia.
  • Ischemic Heart Disease: An ICD Combo device implantation may be beneficial for people with ischemic heart disease, particularly those who have survived a prior heart attack and are at a higher risk of developing ventricular arrhythmias.
  • Non-Ischemic Cardiomyopathy: A condition known as non-ischemic cardiomyopathy occurs when there is no underlying coronary artery disease but instead a weakening or enlargement of the heart muscle.
  • Inherited Cardiac Conditions - Individuals who have been diagnosed with certain hereditary cardiac disorders, such as hypertrophic cardiomyopathy or long QT syndrome, are more likely to experience dangerous arrhythmias.
  • Prior History of Cardiac Arrest - Those with a history of ventricular arrhythmia-induced cardiac arrest are at an increased risk of experiencing it again.

Time Taken For Procedure

ICD and Combo Device Implantation is broadly classified and based on the technique that is used:

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Procedure Time

It can take around 2 to 3 hours

Hospital Stay

Most patients need to stay overnight and are discharged within 24 hours while it may take a little longer if there are any complications

Recovery Period

Most patients return to work within a week or two, however, complete recovery can take a couple of months

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Symptoms

You may be recommended to go for angioplasty if you are experiencing any of the following symptoms linked to coronary artery disease, which are not responding to medication and lifestyle modifications:

Advantages of ICD and Combo Device Implantation

Various Advantages of ICD and Combo Device Implantation are:

About ICD and Combo Device Implantation Procedure

Preparation

  • The preparation starts with a thorough evaluation of the patients overall health, including the assessment of medical history. A series of tests will be performed to determine if you are eligible to undergo the procedure.;
  • It is important to inform your doctor about any medication that you have been taking currently as the dosage might have to be adjusted to ensure these do not hamper the effectiveness of the procedure.
  • You will need to fast for a couple of hours before the procedure as this helps to lower the risks of vomiting, nausea and aspiration. Nutritional support will be provided via IV line as per requirement.
  • You will be briefed about the procedure, its risks and benefits. Ask questions if you have any doubts related to the procedure. It is as important to be prepared mentally as it is to be prepared physically.

What does the Procedure involve?

  • You will be given anesthesia to ensure you are comfortable and pain-free during the procedure.
  • The doctor will make a small incision below the collarbone and create a pocket for the implantation of the device.
  • The leads will be carefully inserted through blood vessels and guided to the heart.
  • The ICD Combo device will be placed in the pocket created earlier, and the leads will be connected to the device.
  • After placement, the doctor will perform tests to ensure the ICD Combo device is functioning properly and effectively delivering electrical shocks if necessary.
  • After making sure that the device is the incision will be closed with sutures or a type of adhesive tape.

What follows the Procedure?

  • After the ICD Combo device implantation procedure, the patient will be closely monitored in a recovery area.
  • Vital signs, such as heart rate and blood pressure, will be regularly assessed to ensure stability. Most patients can expect to be discharged within a day or two, but the exact length of the hospital stay will depend on individual circumstances.
  • Once at home, patients will need to follow specific guidelines and restrictions on physical activities to allow proper healing and adjustment of the device.
  • Regular follow-up appointments with a cardiologist or electrophysiologist will be necessary to assess the device's function, check the settings, and ensure the overall well-being of the patient.

Frequently Asked Questions

Q -Where is the defibrillator implanted in ICD Combo Device Implantation?

The defibrillator was earlier implanted in the abdominal cavity as they were quite large in size, however, nowadays smaller defibrillators are available which can be easily implanted below the collarbone. 

Q - What to expect after ICD Combo Device Implantation?

After ICD Combo Device Implantation, you can resume normal activities within a week or two. In some cases, it can take longer depending on the overall health of the patient. You need to refrain from indulging in any rigorous physical activity and avoid lifting heavy objects unless you recover completely. 

Q - Does ICD Combo Device Implantation involve the use of Anesthesia?

Yes, ICD Combo Device Implantation procedure involves the use of anesthesia. As such, you will not feel any pain or discomfort. 

Q - Can ICD Combo Devices be customized?

Yes, ICD Combo Devices can be programmed to suit the individual needs of the patients. The pacing can be adjusted depending on the severity of the arrhythmias. 

Q - How long does ICD Combo Device Implantation procedure take?

ICD Combo Device Implantation procedure can take anywhere between 2 to 3 hours depending on the severity of the arrhythmias. 

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