Implantable Cardioverter-Defibrillator Implantation in the Electrophysiology Laboratory by Electrophysiologists

Recent developments in implantable cardioverter-defibrillator (ICD) technology have helped simplify the surgical implantation technique of these devices. There has been a marked reduction in the size of these devices making them easier to implant pectorally. In addition ICDs have enhanced longevity and a more facile transvenous lead system. Surgical implantation is almost identical to the procedure used for permanent pacemaker implantation in conjunction with the performance of a short electrophysiologic/arrhythmia induction protocol. In general, the average implant time is approximately one hour and in our series minimal morbidity and no mortality was identified. In conclusion, ICDs can be safely and effectively implanted in the electrophysiology laboratory by electrophysiologists in a timely and cost-effective manner. These implant procedures can help to shorten the length of stay and improve the operating room utilization for more critical procedures.