Reimplantation surgery in patients with implantable cardioverter defibrillators: A qualitative study

ObjectiveThe purpose of this study was to examine the experience of recurrent surgery for patients with implantable cardioverter defibrillators (ICD).BackgroundDevice replacement is typically required every 4–7 years due to battery depletion. Furthermore, recurrent surgery may be related to lead malfunction or pocket infection.MethodsEthnographic methods were used for data collection with 23 ICD reimplanted recipients, 12 men and 11 women, 26–85 years of age. Data were analyzed using a with-in case and cross-case method.ResultsThree major themes were identified: Anticipation regarding implantation with three sub-themes of logistics and social considerations, decisions regarding replacement, and financial considerations. Relinquishing control and somatic changes frame perceptions related to the operative and postoperative periods.ConclusionsThe frequency of ICD reimplantation differentiates it from other surgical interventions. Perceptions varied according to past experiences and present day social, financial, and somatic differences. Recipients are resolved to life-long surgery aided by their trust in health care professionals.