Sedation. The patient is sedated or anesthetized. Incision is made. Venous access is done. Needle, introducers, and wires are passed to proper position with fluoroscopic - xray control and tested electronically. Then a device nice - the aicd is attached. The wound is closed.
AICD Surgery. Aicd or automatic implantable cardioverter defibrillator surgery is done under deep sedation anesthesia. Chest veins are entered and two or three leads are placed into the heart in the right venticle & atrium, and coronary sinus. The leads are connected to the aicd pacemaker and placed under the skin in your chest. The device is checked to be certain that it will function if a rhythm problem.
No. The defib. Device is implatnted in the inner chambers of the heart and bypass is on the out side of the heart where the coronary arteries lie. Unless theres another reason to remove the device ie an infection the device is left in.
Nope. We just turn it off so it doesn't go off during the case from cautery noise.
Pain and AICD. Post-operative pain is normal but should not be excessive. First, what is the cause of the pain? If the surgical site is red, swollen, or oozing fluid, contact the implanting physician immediately. The problem could be serious.
Tylenol (acetaminophen) It will improve over time- it is uncomfortable because it is quite a large device under the skin, but your body will get use to it. Until then just tylenol, (acetaminophen) and perhaps advil if you can tolerate it. Good luck.
Specialist Needed. This is a type of question you should take up with a physician who specializes in heart disease. There is no answer applicable to the general population. The ansewr to this question must be individualized to you and your circumstances.
Different things. Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition.
Both done very. Successfully and routinely.
ICD. They are complementary and not competing therapies.
Different indication. Aicd for arrhythmias and ventricular tachycardia and does not revascularize. Bypass for coronary blockage (which can have arrhythmias) to improve circulation and sometimes stops arrhythmias induced by ischemia- low flow.
AICD. First of, this is a life saving device for individuals needing one! As this is inserted using surgical techniques, risks associated are bleeding, infection etc... Once implanted the device or leads can malfunction or administer an inappropriate shock etc. Bottom line: very high benefit (stay alive), low risk.
Tiny risk. An icd is indicated for people who are judged to be at significant risk for sudden cardiac death. Not implanting an icd in this context confers a far higher risk than the procedure which, itself, is a relatively simple and low risk minor operation done with sedation and local anesthetic. There are small risks of bleeding, blood clot and infection.
Detection. It detects fast heart beats above a threshold set by the cardiologist and programmed into the defibrillator and delivers a shock or ATP - pacemaker override, depending on the heart rate. It will deliver subsequent shocks depending on the heart rate it detects.
Defibrillators. The device has an antenna that monitors the electrical activity of the heart. If the recorded parameters fit those of ventricular tachycardia or ventricular fibrillation, the device will charge its capacitor and deliver programmed shocks to try and return the rhythm to normal. It is a computer and programmed to do its functions. They are very effective but not perfect.
Yes. Implanted cardioverter defibrillators (icds) are the most effective treatment in terminating dangerous arrhythmias. Icds are not 100% effective, but are significantly better than medication alone.
Yes. Aicd can detect rapid heart beat and stop the cardiac arrhythmias by either overdrive pacing or delivering the shock. It is programmed at certain zone of heart rate. For exemple if it is programmed at 180 beats the device will deliver the treatment at at heart rate of above 180.