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The implantable cardioverter defibrillator utilizes wires or "leads" that are situated inside the heart muscle. These leads are connected to what is called a pulse generator, or the major portion of the device, usually implanted under the skin in the abdomen or chest.
Read about a patient's experience who had a coronary angiography at Istituto Auxologico Italiano, in Italy.
It is even worse if they collapse and die on arrival when the clot dislodges and ends up in their lungs. I guess I can call myself lucky