Some ICDs are combined with a pacemaker. You can turn off the ICD without turning off the pacemaker. Your doctor can explain how your pacemaker might affect you at the end of your life. You make the decision about whether or not you want to turn off your ICD. It can be a tough decision to make, but you don't have to make it alone. Look to your family, your doctor, your spiritual adviser, and your friends for help and support.
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Pacemakers Some ICDs are combined with a pacemaker. The shock is normally delivered between the exposed electrode s on the heart lead, and the metal casing of the ICD. Any shock accidentally delivered to the personnel handling the device could be very uncomfortable, although it is unlikely be harmful.
ICDs contain a magnetic switch that is used during clinical programming. Placing a magnet over the implant site will inhibit shock therapy in nearly all ICD models, depending upon how the device is programmed. If attempting to inhibit shock therapy by magnet placement, care should be taken to ensure the magnet is kept very close to the ICD at all times, as separation may restore the potential for shock delivery.
ICDs that are temporarily disabled and removed will therefore need to be packaged appropriately and labelled to prevent accidental shock to personnel. ICDs usually contain a lithium battery, which may explode if exposed to high temperatures such as those used in the incineration of clinical waste. Ensure that ICDs are not disposed of by incineration. The hospital may wish for the information stored in the device to be accessed for patient records or may require return of the ICD for full analysis and return to the manufacturer.
Prior to removal and reprogramming, carry out a full ICD interrogation using an appropriate programmer. Ensure that the complete system including heart leads is removed intact.
Do not cut the heart leads. Contact our physician liaison team for more information about our lead extraction procedures or if you would be interested in meeting with any of the lead extraction team members. Hi Anthony - Thank you for your interest in our lead extraction program. Our team of electrophysiologists can evaluate your condition and help determine the best treatment path. To request an appointment, call or visit froedtert. Skip to main content. Reasons for Lead Removal In most cases, leads remain in the body permanently.
These can include: Infection where the lead or device is implanted Damage to the inside or outside of the lead Electrical malfunction of the lead An ICD or pacemaker device upgrade A Painstaking Procedure Lead extraction is most often performed as a minimally invasive procedure. The risk of death from the procedure is small — about 3 in The risk of complications at the Royal Melbourne Hospital is similar to the risk at other major hospitals in Australia and overseas and is similar to the risks involved in open-heart surgery such as bypass surgery.
The longer the lead has been implanted, the greater the risk of complications. If problems occur during lead removal the only treatment may be emergency heart surgery. Lead removal is usually performed in an operating theatre with a cardiac surgeon and team standing by, who can immediately perform emergency surgery.
Blood is taken for cross-matching before the procedure and a blood transfusion may be required during or after the procedure. While many cardiologists in Australia implant pacemakers and defibrillators, there are only a few who remove them.
That is because it is not required very often and only a few doctors have acquired the necessary experience. Dr Strathmore works with a team of cardiologists, cardiac surgeons, anaesthetists and nurses. The success and complication rates at the Royal Melbourne Hospital are similar to other Australian and overseas hospitals. Dr Strathmore performs most of these procedures at the Royal Melbourne Hospital because it is the only hospital in Victoria with the laser lead removal equipment.
This depends on the reason for removal and the dependence of the patient on the pacemaker. A new pacemaker is then implanted several days later. Some other patients can get by without a pacemaker for several days or weeks and so the new pacemaker implant can be delayed. Sometimes a pacemaker or defibrillator is no longer needed.
You will receive information from the hospital about the admission. Usually you will attend the pre-admission clinic on Ward 2 East at the Royal Melbourne Hospital one or two days before the procedure.
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