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Implantable Cardioverter-Defibrillator
Safe Implantable Cardioverter-Defibrillator Placement in Tunisia
Comprehensive evaluation, personalized programming and expert cardiology support.
How does it work?
What is an Implantable Cardioverter-Defibrillator?
An ICD (Implantable Cardioverter-Defibrillator), also called an implantable cardiac defibrillator, is a small device implanted under the patient’s skin. Its role is to detect and correct heart rhythm irregularities. It can detect both too-fast (ventricular tachycardia) and too-slow (bradycardia) heartbeats. Depending on the situation, the ICD will stimulate the heart by sending electrical impulses in case of bradycardia, or by delivering an electric shock in case of tachycardia, to restore a normal heart rhythm. The device has a lifespan of five to ten years, but its activity reduces its longevity. Presented in the form of a box, it is generally 9 to 15 mm in size and weighs between 50 and 80 grams. Cardiac arrhythmias are responsible for a large number of deaths worldwide. Fortunately, thanks to this innovative technology, it is now possible to effectively remedy this problem and save many lives. By combining the implantation of a Defibrillator with appropriate medical treatment, the surgeon gives the patient every chance to reduce the risks of arrhythmias.
What is the price of an implantable cardioverter-defibrillator?
What are the indications for ICD implantation?
Implanting an implantable cardioverter-defibrillator (ICD) is suggested in specific cases. This medical device, also called an implanted automatic defibrillator, is strongly recommended for patients suffering from serious heart rhythm disorders, which can lead to a high risk of sudden cardiac death. In addition, it is possible to consider the placement of an ICD for people suffering from heart failure and left ventricular dysfunction. This device can greatly help prevent potentially fatal arrhythmias by delivering electric shocks or emitting cardiac stimulations. Thus, it helps stabilize the heart rhythm and avoid serious complications. The decision to implant an ICD is made by a specialized cardiologist after a thorough assessment of the patient’s health status and personal risk factors, in order to guarantee the best possible cardiac protection.
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What are the differences between an ICD and a pacemaker?
A pacemaker is used to treat bradycardia, which corresponds to a heart rate that is too slow. When it detects this anomaly, it emits intense electrical impulses to restore an optimal heart rate. As for the ICD, it has a dual function: it can also send impulses in case of bradycardia, but it is also able to detect and treat ventricular tachycardia, which corresponds to a heart rate that is too fast. In short, the ICD can be considered an improvement on the pacemaker because it is able to treat two problems (ventricular tachycardia and bradycardia) instead of just one, as the pacemaker does for bradycardia only.
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How is an Implantable Cardioverter-Defibrillator placed in Tunisia?
The procedure is performed either under general anesthesia or under local anesthesia – the choice depends on the surgeon’s preferences. As a general rule, the operation lasts about one hour, but it can be extended if a large number of leads need to be inserted. The surgeon begins by making a small incision at the level of the clavicle. To facilitate the operation, the surgeon may insert the ICD electrodes using an X-ray by passing them through a vein, until inside the heart. Once in place, the electrodes will be attached to the heart muscle. Then, at the top of the chest the surgeon will create a space near the clavicle, on the left side, where he will install the ICD and connect the already positioned electrodes to the device. Once the device is correctly positioned, the surgeon performs tests to ensure its proper functioning and makes the adjustments so that the parameters are adapted to the patient’s heart. Once the ICD is correctly installed and the required tests are completed, the surgeon ends the operation by closing the incision.
What are the follow-up procedures after ICD implantation?
By adopting the ICD, you benefit from many advantages, including the possibility of reprogramming it and configuring it according to your needs. This device provides valuable data on your patient’s health status, such as the presence of arrhythmias or the functioning of the implanted leads. Thanks to this information, the cardiologist can assess the evolution of the patient’s cardiac health over time. Studies have shown that this technology has helped reduce mortality related to cardiac arrest by more than 30%.
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What are the risks and complications of ICD implantation?
When undergoing an implanted automatic defibrillator, there are always risks to consider, just like any other invasive operation. Before embarking on this procedure, it is essential to be aware of the risks and potential side effects. A thorough discussion with the surgeon is also necessary. Among the possible complications, we can mention the displacement of the leads, the risks of hemorrhages and the risks of infections. These infections can be relatively minor and easily treatable, but they can also have serious consequences, even affecting the device itself. The patient runs the risk of developing a pneumothorax, which will lead to an accumulation of air in the space between the lungs and the rib cage. In addition to pain and respiratory problems.
Contact and Quote Request for Implantable Cardioverter-Defibrillator in Tunisia
We strongly encourage you to contact us if you are interested in receiving a free quote for implantable cardioverter-defibrillator surgery in Tunisia. Our highly qualified medical team is committed to providing superior quality services and is available to answer all your questions and concerns. Don’t wait any longer to take care of your health by contacting us today. We will be happy to discuss your specific needs and give you complete information on the surgical process and associated costs. We will be there every step of the way to support you towards better health.
Frequently Asked Questions
Yes, it is possible to feel the shocks even during sleep. Patients may be awakened by a sensation of a blow to the chest, but the ICD is designed to deliver shocks only in cases of serious arrhythmias, thus often saving lives.
Modern ICDs are well protected against interference from most electronic devices, including mobile phones and hearing aids. However, it is recommended to keep these devices at a certain distance (generally more than 15 cm) from the ICD to avoid any potential interference.
The average lifespan of an ICD battery is 5 to 10 years, depending on use. Patients are regularly monitored to check the battery status. When it starts to run low, the ICD sends warning signals, and an intervention to replace the battery is scheduled.
An ICD is primarily designed to detect and correct dangerous ventricular tachyarrhythmias, such as ventricular fibrillation. It does not treat all forms of arrhythmias, such as atrial fibrillation, but can be combined with other treatments to manage various heart rhythm disorders.
Patients with an ICD should generally avoid contact sports or those that expose them to violent shocks, such as football or boxing. Activities such as swimming, walking, and cycling are often recommended, but it is essential to consult their cardiologist for personalized advice.
Yes, it is quite possible to travel by plane with an ICD. Patients should inform security officers at airport checkpoints, as the ICD may trigger metal detectors. A medical certificate may also be helpful.
Traditionally, MRIs were contraindicated for patients with ICDs, but new “MRI-compatible” models allow this procedure under certain conditions. For lithotripsy, additional precautions must be taken, and the procedure must be coordinated with the cardiologist.
Some patients may experience anxiety or a feeling of dependence on the ICD, especially at the beginning. However, with appropriate medical follow-up and time, many regain a good quality of life, reassured by the fact that the device protects them against potentially fatal arrhythmias.
Yes, the ICD can be adjusted or reprogrammed remotely via an external programming device. This allows doctors to modify the ICD settings to meet the patient’s individual needs without requiring surgery.
In such a scenario, the ICD is designed to intervene automatically by delivering shocks to attempt to restore a normal heart rhythm. However, it is essential to seek medical assistance as soon as possible, as the ICD may require additional support to stabilize the patient’s condition.
