Internal cardiac defibrillator implantation (ICD)

The cost of your implantable cardiac defibrillator implantation depends on a variety of factors, including where you have the procedure and the consultant that performs it.

Our fixed-price packages include the cost of your surgery and all appropriate aftercare appointments. However, any pre-surgery diagnostic tests and your consultant’s outpatient appointment consultation fee are charged separately.

Our flexible payment options help you spread the cost of your payment across a time period that suits you. We offer fixed-term monthly payment plans over one to five years with no deposit required. If you decide to pay over 10 months, you will pay interest-free. If you are paying for a longer period, you will pay 14.9% APR.

If you have private health insurance, hip replacement surgery will usually be covered by your provider. Speak to your insurer directly to find out.

*This is a guide price for patients who are paying for their own treatment. The actual cost of your treatment will be confirmed in writing at the time of booking.

An implantable cardiac defibrillator is a battery-powered device implanted in your chest. It is a little bigger than a matchbox. An ICD has thin wires (also known as electrodes) attached to it that connect directly to your heart. These electrodes monitor your heart rate and rhythm. If the device detects a dangerous or unusual heart rhythm it can deliver one or more of the following treatment options to help moderate your symptoms and prevent you from having sudden cardiac arrest:

Pacing

The device will deliver a series of low-voltage electrical impulses (paced beats) at a fast rate to try and correct your heart rhythm.

Cardioversion

The device will deliver one or more small electric shocks to try and restore your heart to a normal rhythm.

Defibrillation

The device will deliver one or more larger electric shocks to try and restore your heart to a normal rhythm.

ICDs are generally most needed for those at risk of experiencing sudden cardiac arrest. You might need an implantable cardiac defibrillator if:

You have a genetic risk of heart failure

You might have had tests that show you are at risk of developing an abnormal heart rhythm in the future. This is usually due to a genetic condition such as a cardiomyopathy (which happens when the chambers of your heart become weakened or stiff), which affects your heart's ability to pump blood around your body. Your consultant will be able to tell you whether you have a genetic risk of heart failure and ensure you know how to manage this risk factor with an ICD, if needed.

You have had heart failure before

An ICD implant might be recommended if you have already experienced an abnormal heart rhythm and are at risk of experiencing it again.

You are experiencing heart failure

If you have heart failure and are at risk of developing a life-threatening heart rhythm, an ICD could prevent this.

You have ventricular arrhythmias

These are abnormal heart rhythms that make the lower chambers of your heart twitch instead of pump. This can limit or stop your heart from supplying blood to your body. 

Your consultant will begin the procedure by making an incision with a specialist instrument across your upper chest. They will then insert the thin wires of the implantable cardiac defibrillator through a vein in your chest and directly into your heart.

After the wires are placed in the right position in your heart, your consultant will create a small pocket under your skin in which to place the generator (a battery powered electronic circuit) and connect the wires to it. After everything is set in place, your consultant will test the ICD through a computer software to ensure it is programmed according to your exact needs. The incision will be closed with either stitches or glue.

An ICD implantation can be performed under either local anaesthetic or general anaesthetic. Local anaesthesia is when a small area of your body is numbed and you are conscious. General anaesthesia is when you're unconscious and unaware of the procedure. Your consultant will decide which of these is the best option for you depending on your circumstances.

The procedure time can vary depending on why you having the ICD fitted, but it usually takes up to three hours. 

Your consultant will usually ask that you avoid taking any medication the morning of the procedure. You will also be asked to not eat or drink from midnight onward before having the ICD implanted. 

You will not be able to drive yourself home after the surgery, so you will need to arrange for a friend or family member to collect you before you have surgery. Alternatively, we are happy to arrange for a taxi to pick you up from any of our hospitals.

Every ICD implantation is slightly different because an implantable cardiac defibrillator is fitted to suit your exact anatomy. This means the recovery period also differs from person to person, but generally it takes between four and six weeks to return to normal everyday activities after an ICD implantation, including strenuous exercise and driving.

Recovering in hospital

Directly after the procedure, you will return to your room where your heart rhythm will be monitored for 12 to 24 hours. Your healthcare team will assist you with anything you need while the sedation wears off. We will also provide you with comprehensive information about managing your recovery at home.

Two weeks after surgery

Your chest may feel uncomfortable and stiff in the first two weeks after surgery, but these symptoms can be managed effectively with traditional painkillers and rest. You might also feel a hard ridge along where the incision was made across your chest. This usually becomes softer about a month after surgery. It is normal to be able to see and feel the outline of the ICD under your skin. Your consultant will ensure you know how to wash and tend to your wound properly at home to protect it from becoming infected.

During this time, avoid movements that might put pressure on your wound, such as lifting heavy objects or exercising strenuously. You can enjoy gentle walks and low-impact exercise, but you should not overexert yourself. You will probably need to take one to two weeks off work to recover at home, but this depends on what you do and the rate of your recovery. Your consultant will be able to advise on this in relation to your personal circumstances.

Four to six weeks after surgery

You will be able to move more freely within four weeks after surgery. At this stage, you can slowly build up your exercise levels, but still avoid contact sport and strenuous levels of exercise until your consultant advises otherwise. You should also ask your consultant when it is safe to drive and travel; they will be able to provide you with an accurate timeline and appropriate information based on your specific situation.

You will have regular follow-up appointments

You will have regular follow-up appointments with your consultant in the months after your procedure. During these, they will check that your implantable cardiac defibrillator is functioning properly and that your heart is generally healthy.

You must discuss how to safely use electric devices at home with your consultant. You can use most household appliances, such as a microwaves and hairdryers, with an implantable cardiac defibrillator, but your consultant will provide you with a tailored list of objects you should avoid with an ICD to be on the safe side. This list shouldn't limit you at home or prevent you from living your normal, everyday life.

An ICD implantation is a highly safe and commonly performed procedure. Some people receive inappropriate shocks from the device, but this is rare. Your consultant will discuss the risks of the procedure with you before you have it to reassure you that they are uncommon. Potential risks are:

• Infection
• Allergic reactions to medicine
• Bruising and swelling where the ICD is inserted
• Blockage in your veins

Can you drive with an ICD implant?

Yes, in most cases, you can usually drive with an ICD implant. However, there are some important things to consider:

• You will need to wait a certain amount of time before you’re able to drive again following your implant. Typically, we advise waiting 4-6 weeks, but your consultant will provide specific guidance based on your individual case
• If you drive a car or motorcycle for personal use, you must inform the DVLA about your ICD
• If you are driving commercially, or operating larger vehicles, there are certain rules to be followed. Your consultant can explain these to you in detail
• Regular medical checks are vital to ensure that your ICD is functioning correctly, which is important for safe driving

We're here to support you through this adjustment and help you return to normal activities, including driving, as safely as possible. 

How big is an ICD implant?

We understand that patients often wonder about the size of the device they'll be living with. The ICD implant is relatively small:

• It is usually the size of a small matchbox or pocket watch
• Its exact dimensions may vary, but most modern ICDs are about 6-8 cm in length, 4-5 cm in width, and about 1-2 cm thick
• The ICD is designed to be as compact as possible while providing comprehensive heart rhythm management

You may be shown a model of the ICD during your consultation to give you a better impression of its size and how and where it will fit inside your chest. 

How long can you live with an ICD implant? 

An ICD implant can significantly improve your life expectancy if you're at risk of dangerous heart rhythm problems. Here's what you should know:

• Most people with ICDs lead full, active lives for many years after their device has been implanted
• The device itself doesn’t limit your lifespan - it’s there to protect you from life-threatening arrhythmias
• Regular check-ups and proper care help ensure that your ICD functions effectively for many years
• The underlying heart condition that required the ICD will still need ongoing management

Our cardiologists will not only guide you through the management of your ICD but towards an improvement in your overall heart health. This will positively impact your ability to lead a full, active life. 

Is the ICD implant a major surgery?

ICD implantation is a significant procedure, though it’s generally not considered major surgery. Here's why: 

• It’s usually done under local anaesthetic, so you are awake but sedated 
• It is minimally invasive, requiring only a small incision
• Most patients can go home on the day, or the day after, the procedure
• Recovery time is relatively short compared to open-heart surgery

Nevertheless, an ICD implantation is still an important medical procedure that requires a lot of preparation and follow-up care. At Circle Health Group, our highly experienced cardiac teams ensure you get the best possible care before, during, and after ICD implantation. 

How long does ICD implant surgery take?

At Circle Health Group, we understand that knowing what to expect can help ease any anxiety about the procedure. Here's what you should know about the duration of ICD implant surgery:

• The implantation procedure typically lasts from 1 to 3 hours
• The exact time may vary based on the specifics of the ICD being implanted, and your individual cardiac anatomy
• After the procedure, you will spend several hours in recovery for monitoring

Our cardiac teams work efficiently to minimise the time that you need to spend in surgery, while ensuring the ICD is placed correctly and functioning properly.

What to expect after an ICD implantation? 

After your ICD implantation at Circle Health Group, you can expect: 

• Initial recovery: you'll be monitored for 12-24 hours post-procedure
• Some discomfort: you may experience some chest discomfort and tightness for approximately two weeks, managed with pain relievers
• Activity increases: gradually work back into normal activities, guided over 4-6 weeks at a rate recommended by your consultant
• Follow-up: you will have ongoing visits to ensure your ICD is working properly and to monitor your overall heart health
• Adjustments: you will learn how to live safely with your ICD, including which household appliances are safe to use

Our team will provide comprehensive aftercare instructions and support throughout your recovery process.

How long does an ICD implant last?

The longevity of an ICD implant is an important consideration for our patients at Circle Health Group. Here's what you need to know:

• Most modern ICDs last from 5 to 7 years
• Actual device lifespan depends on how often it needs to deliver therapy and the intensity or settings used
• Scheduled follow-up visits will include monitoring of the ICD’s battery status
• When the battery starts to deplete, we’ll plan for a timely replacement procedure

Rest assured, we’ll keep you informed about your ICD’s status and plan well in advance for any necessary replacements.

What should I avoid with an ICD implant? 

Living with an ICD implant does take some extra care and precautions, but it shouldn’t affect your lifestyle too significantly. At Circle Health Group, we recommend that you: 

• Stay away from strong electromagnetic fields and devices (such as MRI machines without proper precautions)
• Always keep mobile phones at least 15cm away from your ICD
• Discuss any new medical procedure with your doctor
• Avoid contact sports and activities involving the risk of impact to the chest
• Follow your consultant’s advice on when it’s safe to resume driving

Your consultant will provide a tailored list of precautions based on your specific situation and lifestyle.

Is ICD insertion painful? 

At Circle Health Group, we prioritise your comfort during and after the ICD insertion procedure. Here's what to expect:

• During the procedure: you will be under local anaesthesia and sedation, so you should not feel any pain
• Immediately after the procedure: you may have some discomfort when the anaesthetic wears off
• Recovery period: some patients report feeling sore or uncomfortable for a few days to weeks
• Long-term: once healed, ongoing pain from their ICD is uncommon for most patients

We provide suitable pain management strategies to ensure you are comfortable throughout the recovery process. If you experience any unusual or unexpected pain, our experienced team is always here to address your concerns.

When you choose to go private with Circle Health Group, you can expect:

• Flexible appointment times and locations to fit your routine
• The freedom to choose which hospital and consultant suit your needs
• Personalised, consultant-led treatment plans tailored to your individual needs
• Comfortable and safe private facilities maintained by expert multidisciplinary teams
• Support by the same compassionate clinical team from beginning to end
• Affordable, fixed-price packages with aftercare included
• Flexible payment options to help you spread the cost of your care

If you would like to learn more about this procedure, book your appointment online today or call a member of our team directly on 0141 300 5009.

Content reviewed by Circle in-house team in September 2024. Next review due September 2027.

1. Implantable cardioverter defibrillator, British Heart Foundation
2. Implantable Cardioverter Defibrillator (ICD) Insertion, Hopkins Medicine
3. Implantable cardioverter-defibrillators (ICDs), Mayo Clinic
4. Implantable Cardioverter Defibrillator (ICD), Cleveland Clinic
5. Implantable cardioverter defibrillators (ICDs), NHS