8 doctors weighed in:
How does icd or defibrillator extraction work?
8 doctors weighed in

Dr. Jerry Routh
Internal Medicine
6 doctors agree
In brief: Surgery
An icd (implantable cardioverter defibrillator) is a device implanted under the skin and connects to leads inserted in veins to the heart or occasionally placed surgically directly on the surface of the heart.
The icd can be changed out under local anesthesia as an outpatient as long as the leads are functional. Lead change out is done by laser or mechanical extraction under deep anesthesia.

In brief: Surgery
An icd (implantable cardioverter defibrillator) is a device implanted under the skin and connects to leads inserted in veins to the heart or occasionally placed surgically directly on the surface of the heart.
The icd can be changed out under local anesthesia as an outpatient as long as the leads are functional. Lead change out is done by laser or mechanical extraction under deep anesthesia.
Dr. Jerry Routh
Dr. Jerry Routh
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Dr. Jason Rubenstein
Internal Medicine - Cardiology
In brief: It Varies
If a pacemaker or icd lead needs to be removed, a extraction procedure is recommended.
For leads implanted in the last 6 months, they may just pull out easily. For older leads, sometimes they have scar tissue over them which needs to be removed with a laser sheath system. Usually these procedures can all be performed via the original pacemaker incision.

In brief: It Varies
If a pacemaker or icd lead needs to be removed, a extraction procedure is recommended.
For leads implanted in the last 6 months, they may just pull out easily. For older leads, sometimes they have scar tissue over them which needs to be removed with a laser sheath system. Usually these procedures can all be performed via the original pacemaker incision.
Dr. Jason Rubenstein
Dr. Jason Rubenstein
Thank
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