Case Study: Iraqi who was implanted with S-ICD device at Fortis Hospital, celebrates completion of a year of surgery

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He was also the 1st patient to have an S-ICD implant in Western India

Saif Fakhir, a 36-year-old Iraqi national was suffering from recurrent fevers for over six months. His condition would improve for a short span after courses of antibiotics were prescribed by local doctors; however, there was no long-term relief. Since his ordeal did not end, he visited Fortis Hospital, Mulund a year ago along with his father, and was admitted under the care of Dr Atul Limaye, Consultant, Interventional Cardiology, Fortis Hospital Mulund.

Detailed assessment revealed that he had persistent blood stream infection. Dr. Limaye suggested that he undergo an Echocardiogram; the results of which concluded that the source of infection and the fever was the Implantable Cardioverter Defibrillator (ICD) lead, which was placed inside his heart during a procedure conducted locally, a few years ago. Since no other solution was available to treat his condition, Dr. Limaye suggested that the infected lead be removed and replaced with a new type of lead that has no contact with the heart or vascular structures.

The Implantable Cardioverter Defibrillator (ICD) is a small electronic device connected to the Heart which is used to continuously monitor and help regulate potentially fast and life-threatening electrical problems within the heart. The new system had to be novel, as the patient had had recurrent infections from prior trans-venous implants, the leads of which reside inside the heart chambers. Dr. Limaye decided to implant a Subcutaneous Implantable Cardioverter Defibrillator (S-ICD), a unique system that sits outside the heart, with no leads in contact with the heart chambers or its vasculature. The procedure was planned in two steps; first removal of the infected lead from the heart and subsequently implanting the S-ICD system. Both procedures were conducted 4 weeks after admission, as doctors had to first manage the existing infection in the patient’s blood.

Article Source: https://www.healthcareradius.in/clinical/24729-iraqi-who-was-implanted-with-s-icd-device-at-fortis-hospital-celebrates-completion-of-a-year-of-surgery

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