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The process of implantation of an ICD is similar to implantation of a pacemaker.

Similar to pacemakers, these devices typically include electrode wire(s) which p ass through a vein to the right chambers of the heart, usually being lodged in the apex of the right ventricle. The difference is that pacemakers are more often temporary and generally designed to consistently correct bradycardia, while ICDs are often permanent safeguards against sudden abnormalities. The most recent development is the subcutaneous ICD (S-ICD). Current state-of-th e-art electronics and batteries have enabled an implantable device to deliver enough energy to defibr illate the heart without the need for a lead in or on the heart. This prevents lead-related problems and the risk of dangerous infections in or near the heart. This ICD is positioned just under the skin and outside the ribcage. It can be placed during a minor procedure under conscious sedation. A study of 300 patients is in progr ess for US approvals.

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