Cardiac Implantable Electronic Device Replacement | MedStar Health

Upgrading a device when the battery wears out or it malfunctions

Medical illustration showing the location of an implanted pacemaker.If you have a pacemaker or implantable cardioverter defibrillator (ICD) to correct an abnormal heart rhythm (arrhythmia), there may come a time when the device needs to be replaced. This may happen if:

  • The battery wears out
  • The device malfunctions
  • You need a device with different features

The doctors in our Electrophysiology Program have access to the latest technologies to care for patients with even the most complex arrhythmias. We’ll work with you to determine if and when your device needs to be replaced.

Remove a cardiac implantable electronic device and leads

An IV will be inserted to deliver medication and fluids. You’ll be given a sedative to help you relax, but you will remain awake. We’ll monitor your heart and blood pressure throughout the procedure.

The doctor will make an incision above the device. It will be disconnected from the leads and removed. The leads, which attach the device to the heart and deliver an electric shock when necessary, will be tested. If they’re functional, the new device will be connected to them and placed in the same position as the old device. If the leads need to be replaced, we’ll do that before placing the new device.

The procedure will take about 2 hours—longer if the leads need to be replaced. You will need to stay at least a few hours for observation or, in some cases, overnight.

Our locations

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MedStar Health: Cardiac Electrophysiology at MedStar Georgetown University Hospital

3800 Reservoir Road Northwest
MedStar Georgetown University Hospital
Washington, DC 20007

855-430-5304

MedStar Health: Cardiac Electrophysiology at MedStar Union Memorial Hospital - Calvert Street Building

3300 North Calvert Street
Calvert Street Building
First Floor
Baltimore, MD 21218

410-554-2044

Additional information

Electrophysiology Program

We are leaders in developing and using the latest procedures and technologies to treat heart rhythm disorders, and our cardiac electrophysiology laboratory is one of the most sophisticated in North America.

Insurance

MedStar Health accepts most major health insurance plans. If you are uncertain as to whether your individual health insurance plan is accepted at MedStar Health, please call your insurance company.