Lead, defibrillator, capsure fix 6940. capsure fix 4068-110
HCPCS code
Name of the Procedure:
Defibrillator Lead Placement, Capsure Fix 6940. Capsure Fix 4068-110 (C1303).
Summary
This procedure involves the placement of a specialized lead for a defibrillator, which helps manage and treat irregular heartbeats by delivering electrical impulses. The Capsure Fix models used are known for their secure fixation and compatibility with defibrillators.
Purpose
The primary purpose of this procedure is to manage severe heart rhythm disorders, such as ventricular tachycardia or fibrillation. The lead ensures proper delivery of electrical impulses to regulate the heart rate, reducing the risk of sudden cardiac arrest and improving overall heart function.
Indications
This procedure is indicated for patients experiencing severe arrhythmias, particularly those unresponsive to medication or other therapies. It is also suited for individuals diagnosed with conditions that predispose them to life-threatening arrhythmic events.
Preparation
Patients may be required to undergo pre-procedure diagnostic tests such as an electrocardiogram (ECG) and blood work. Fasting for several hours before the procedure could be necessary, and medication adjustments might be advised to minimize risks.
Procedure Description
Step-by-Step:
- Patient sedation or general anesthesia is administered.
- A small incision is made near the collarbone to access the subclavian vein.
- The defibrillator lead is threaded through the vein into the heart under fluoroscopic guidance.
- The lead is positioned and secured in the appropriate heart chamber.
- The other end of the lead is connected to the defibrillator device.
Equipment:
- Defibrillator leads (Capsure Fix 6940. Capsure Fix 4068-110)
- Fluoroscopy machine
- Implantable defibrillator device
- Specialized surgical tools
Duration
The procedure typically lasts between 1 to 3 hours.
Setting
This procedure is usually performed in a hospital’s electrophysiology lab or an operating room equipped for cardiac procedures.
Personnel
- Electrophysiologist or cardiac surgeon
- Anesthesiologist or nurse anesthetist
- Scrub nurse and circulating nurse
- Radiologic technologist
Risks and Complications
Common risks include infection, bleeding, and bruising at the incision site. Rare complications could involve lead dislodgment, pneumothorax (collapsed lung), or heart perforation. Immediate measures are in place to manage these complications if they arise.
Benefits
The procedure significantly reduces the risk of sudden cardiac arrest and improves heart rhythm regularity, which can enhance the patient's quality of life. Benefits are often realized immediately after the defibrillator is activated.
Recovery
Post-procedure care includes monitoring in a recovery room, followed by instructions for wound care and activity restrictions. Patients can expect a recovery period of several weeks, with follow-up appointments to ensure proper device and lead function.
Alternatives
Alternatives include medication management, catheter ablation, or the implantation of a different type of cardiac device like a pacemaker. Each alternative varies in invasiveness, effectiveness, and associated risks.
Patient Experience
During the procedure, the patient will likely be sedated or under general anesthesia, minimizing discomfort. Post-procedure, some soreness or tenderness at the incision site is expected, but pain management strategies, including medications, will be provided to ensure comfort.