ICD Insertion

What is an Implantable CardioverterDefibrillator (ICD) Insertion?

An Implantable Cardioverter-Defibrillator (ICD) is a small medical device, similar in appearance to a pacemaker, that is used to treat and prevent dangerous heart rhythms. An ICD may be recommended if your heart is at risk of developing serious arrhythmias such as Ventricular tachycardia and Ventricular fibrillation.

The device continuously monitors your heart rhythm. If a dangerous rhythm is detected, the ICD can deliver small electrical impulses or a controlled shock to restore a normal heart rhythm. ICDs are implanted by a Cardiologist in a Cardiac Catheterisation Laboratory.

What to expect before your procedure

Please note this booklet provides general information about your procedure. The hospital booking team will contact you prior to your procedure with personalised instructions specific to your medical history.

Before

Your Cardiologist may request a blood test.

You may be asked to stop taking some medications.

You are required to fast for 6 hours prior to your procedure.

If you are a diabetic, please contact us for specific instructions.

Please pack an overnight bag should you be required to stay overnight for observation.

On the day of your procedure

Make transport arrangements to and from the hospital as you won’t be able to drive after the procedure.

Arrive at the Hospital at least two hours prior to your procedure.

During the procedure

The procedure is performed in a Cardiac Catheterisation Laboratory.

You will receive local anaesthetic at the insertion site (usually below the collarbone).

A small incision is made to allow the leads (wires) to be guided into a vein and positioned within the heart using imaging guidance.

The leads are connected to the ICD device, which is placed under the skin.

The device is tested to ensure it is functioning correctly.

The incision is then closed.

The procedure typically takes between 1 and 2 hours.

Post procedure care & discharge information

A full report will be sent to your referring doctor regarding the results of your procedure.

If discharged on the same day, ensure someone is available to stay overnight with you.

Please contact our rooms on (08) 9389 8658 to book your post-procedure follow-up appointment for 4–6 weeks, or as instructed by your Cardiologist.

Avoid strenuous activities such as:

Sports

Heavy lifting

Vigorous housework

Repetitive arm movements on the side of the ICD for at least 2 days, or as directed by your Cardiologist.

Important information

Please seek URGENT medical care by visiting your closest Emergency Department if you experience any of the following:

Chest pain or shortness of breath that does not go away with rest

Fever or chills

Bleeding or new bruising or swelling at the incision/catheter site

Light headedness or vision impairments.

Increasing pain or discomfort.

Any feeling of numbness, tingling, change in skin colour or weakness that develops in your legs.

Important Contact Information

Should you have any queries relating to your procedure, patient care or hospital admission, please contact our office on:
p. 08 9389 8658 – press option 1 and 2
OR
email: hospital.bookings@accesscardiology.com.au