Objective: The purpose of this study was to examine the experience of recurrent surgery for patients with implantable cardioverter defibrillators (ICD).
Background: Device replacement is typically required every 4-7 years due to battery depletion. Furthermore, recurrent surgery may be related to lead malfunction or pocket infection.
Methods: Ethnographic 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.
Results: Three 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.
Conclusions: The 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.
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