The EV-ICD has a lead positioned below the sternum and outside of the patients vasculature and heart. It is then attached to the defibrillator implanted below the left armpit. The placement of the device outside of the patient’s  vasculature allows for preservation of the vessels in patients with advanced kidney disease who may require future dialysis. Additionally, this allows for vasculopath patients whose vessels already have issues to receive lifesaving benefits of an ICD regardless of their vessel status. The EV-ICD also has antitachycardia pacing capabilities where, if the heart is beating too fast or is not beating regularly, the device can first send small electrical signals to correct the heart rate. If the fast heartbeat continues, the device then sends an electric shock to reset the normal heartbeat. The procedure was performed in the hybrid OR.