Devices
Implantable cardiac devices.
What each type of device does, why and when we recommend one, and what life is like after implant.
Pacemakers
Defibrillators (ICDs)
Extravascular ICD (EV-ICD)
A newer defibrillator with a lead placed under the breastbone rather than inside a vein. It delivers shocks and anti-tachycardia pacing without anything in the bloodstream.
Subcutaneous ICD (S-ICD)
A defibrillator that sits entirely under the skin, with no wires inside the heart or veins. It protects against sudden cardiac death without the long-term risks of a transvenous lead — but it cannot pace.
Implantable Cardioverter-Defibrillator (ICD)
An implanted device that constantly watches the heart's rhythm and delivers pacing or a shock to stop dangerous fast rhythms from the lower chambers (ventricular tachycardia and ventricular fibrillation).
Resynchronization devices (CRT)
Loop recorders
Left-atrial appendage closure
Amulet (Left Atrial Appendage Closure)
An alternative left atrial appendage closure device that uses a lobe-and-disc design to seal the appendage from two sides at once, allowing patients with non-valvular atrial fibrillation to come off long-term blood thinners.
WATCHMAN (Left Atrial Appendage Closure)
An implant that seals off the left atrial appendage — the small pouch where most AFib-related blood clots form — so patients with atrial fibrillation can come off long-term blood thinners.
How implants and lead removals work
The implant procedure for each device is covered inside that device's page. For lead removal — when an old lead needs to come out because of infection, malfunction, or upgrade — see Lead Extraction under Procedures.