How is an ICD Implanted?

Implantation is very similar to pacemaker implantation. The ICD is typically implanted beneath the skin through a small incision below the collar bone. A lead is then threaded through a vein to the heart where it touches the lining of the heart. This lead allows the defibrillator to sense the heartbeat. If an electrical storm in the heart is detected, the defibrillator can charge up and shock the heart to reset it. It’s almost like having a paramedic on standby. The procedure is done with sedation and local anesthetic. Depending on the situation, you may be able to go home the same day or may need to stay overnight.