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Doctor insights on: Ablation

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Dr. Michael Kleerekoper
2 doctors shared insights

Ablation (Overview)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a tube in the groin.


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What is an ablation?

What is an ablation?

Uterus ablation: A uterus (lining) 'ablation' means removal/destruction of the cells that line the uterus thus stopping or lightening your (heavy) periods. A common procedure is called: novasure , which is a one-time, 5-minute procedure. Success rates are up to 90%. See more info on novasure.Com. ...Read more

Dr. Michael Kleerekoper
2 doctors shared insights

Ablation (Overview)

Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a tube in the groin.


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What is the definition or description of: ablation?

What is the definition or description of: ablation?

Tissue destruction: Cardiac ablation involves destruction of tissue aimed at elimination of sources of origin or propagation of arrhythmias. It may also be used to destroy part of the heart in hypertrophic cardiomyopathy. Typically it is done with a catheter inserted through a tube in the groin. ...Read more

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What are the pros and cons of medialstinal ablation?

What are the pros and cons of medialstinal ablation?

Need more info: The mediastinum is the area around your heart. Ablation means "destruction". The pros and cons depend on what is being destroyed (lymph nodes? Cancer?) and how (radiofrequency? Heat? Cold?) ask your doctor what the evidence is for the procedure, and what alternatives are possible. The mediastinum contains critical structures, so you don't want to risk any non-proven procedures. ...Read more

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How does ablation work on your back?Blocks have not worked.Thanks

How does ablation work on your back?Blocks have not worked.Thanks

RFA: Rfa can be used to help patients with chronic (long-lasting) low-back and neck pain and pain related to the degeneration of joints from arthritis. The degree of pain relief varies, depending on the cause and location of the pain. Pain relief from rfa can last from six to 12 months and in some cases, relief can last for years. More than 70% of patients treated with rfa experience pain relief. ...Read more

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I've been told a vt ablation is very unusual. Under what criteria should it be performed?

I've been told a vt ablation is very unusual.  Under what criteria should it be performed?

For refractory VT: Vt is a reentrant rhythm occurringusually in the region of previous scar tissue in the left ventricle (previous infarct). The primary therapy for patients with cardiomyopathy is implantation of an icd. Patients who have recurrent therapy from thier icd and unresponsive to antiarrhythmic drugs then ablation is considered. There are VT ablations performed in patients with normal hearts as well. ...Read more

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I am currently experiencing ocassional AF with increasing frequency. This follows successful Ablation approx 3.8yrs ago. Is 2nd ablation warranted?

I am currently experiencing ocassional AF with increasing frequency. This follows successful Ablation approx 3.8yrs ago. Is 2nd ablation warranted?

Most likely: You responded well to your first ablation during which they likely electrically isolated your pulmonary veins. One or more of your veins probably reconnected and the most effective approach based on your age is a repeat ablation. Your MD should know that your atrial fibrillation has recurred so anticoagulation and stroke prophylaxis can be addressed as well ...Read more

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Before I qualify for a second ablation procedure to re-treat AF, do I need to be in a state of constant or persistant AF? How is persistant defined?

Before I qualify for a second ablation procedure to re-treat AF, do I need to be in a state of constant or persistant AF? How is persistant defined?

Depends: It depends in part on how far out from your first procedure you are, whether or not you are taking anti arrhythmic medications and whether or not you are symptomatic. Persistent AF is simply AF lasting more than 7 days. It is not uncommon to have recurrent AF in the first few months after ablation and still be arrhythmia free in the long term but you will need to be followed closely. ...Read more

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What contraindications of AF Ablation??

See below: The main contraindication is lack of anticoagulation for 4 weeks prior, but I see you're on Pradaxa. The likelihood of success in permanent AF is low, thus that is a relative contraindication. ...Read more

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What is nerve ablation?

What is nerve ablation?

Destruction of nerve: It is usually used for medial branch nerve, which supplies facet or articular joints in the back or neck. This nerve only brings back pain information from that joint and does nothing else. When it's destroyed, the pain goes away despite the abnormality remaining there - i.E arthritis. ...Read more

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If i had an ablation do I still ovulate?

If i had an ablation do I still ovulate?

Ablation: i assume you had catheter ablation for arrhythmia. they are not related. ...Read more

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I have had ablation. can I take tadalafil?

I have had ablation. can I take tadalafil?

See my remarks: Ablation of what ? Whatever you had, if you are weeks from the procedure,
Tadalafil should pose no issue, BUT ASK THE DOCTOR WHO DID THE ABLATION FIRST. ...Read more

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Can you exercise after an endemetrial ablation?

Can you exercise after an endemetrial ablation?

Absolutely: You should be able to return to your normal level of activity as soon as you feel up to it. ...Read more

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How long the recovery time is for thermal ablation?

How long the recovery time is for thermal ablation?

Usually 1-2 days: Most ablations require very little recovery & you should be back to normal after 1-2 days. You need to be at pelvic rest (nothing in the vagina) for 2-4 weeks, but otherwise downtime is minimal. If done under general anesthesia, 1-2 days is usually needed to recover from the anesthetic. Rarely pts may experience severe pain & need up to 2 weeks off to recover. Take the pain meds prescribed! ...Read more

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Is its normal to bleed five years after an ablation?

Is its normal to bleed five years after an ablation?

Not really: The object of the ablation is to stop the bleeding but 5 years out is a long time and at your age it would not be uncommon for the uterine lining to be reforming and bleeding to be occurring. ...Read more

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Does radio frequency ablation kills the nerve permanently?

Does radio frequency ablation kills the nerve permanently?

Yes: It kills nerves that are ablated permanently but not the nerves that are not touched. ...Read more

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What is the definition or description of: thermal ablation?

What is the definition or description of: thermal ablation?

Destruction by heat.: This is used by different specialists to destroy excess tissue growth such as in benign prostate hypertrophy done by urologists as an office procedure or to destroy tumors in internal organs that can be precisely hit by the catetherization of their blood supply in that case by interventional radiologists. ...Read more

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Can you give me information on topera diagnostic image for ablation?

Can you give me information on topera diagnostic image for ablation?

It's a : Rhythmview system that assist electrophysiologist in the identification of the electrical source of cardiac arrhythmias. Its a different technology. Pulmonary vein isolation actually use. It's a research technology with possibly a bright future. 6 millions americans suffer from atrial fibrillation but only around 120, 000 ablations a year. Electro cardiologist are true artist when doing ablations. ...Read more

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Should you be concerned if you start bleeding 4 years after ablation?

Should you be concerned if you start bleeding 4 years after ablation?

Not necessarily: It's not uncommon for women to bleed years after an endometrial ablation. The goal is to destroy the lining of the uterus, however, given that many women have ablations done in their 30s or early 40s, hormonal influences sometimes cause gradual regrowth of the endometrium allowing bleeding to recur. No woman undergoing an endometrial ablation should be promised amenorrhea (no more periods). ...Read more

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Does Sex change after having an ablation? My boyfriend said it does not feel the same.

Does Sex change after having an ablation? My boyfriend said it does not feel the same.

Unrelated: Are you referring to an endometrial ablation? This is where the inside of the uterus - the endometrium - is treated. This would not affect sex. ...Read more

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Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

Is it wise to have another ablation or should I have a hysterectomy? What other options do I have?

What about UFE?: Ablation burns the lining of the uterus and often doesn't work if the symptoms are due to fibroids (i.e. Doesn't treat the problem just the symptom). Uterine fibroid embolization allows women to get the symptom relief (exs. Heavy bleeding, pelvic pain, etc) completely without surgery and you get to keep your uterus. Even in women who don't want children, your uterus is still important to you ! ...Read more

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How Long is recovery supposed to be after novasure ablation? I've been with dichargre for two weeks

How Long is recovery supposed to be after novasure  ablation? I've been with dichargre for two weeks

Normal: Discharge following in the metria liberation is going to be normal even for two weeks. If you're concerned there might be the possibility of infection, and definitely see your doctor. But it would be normal to have dark brown discharge for a couple of weeks ...Read more

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How do I check to see how many times my electro physiologist has had bad results when doing an ablation?

How do I check to see how many times my electro physiologist has had bad results when doing an ablation?

If you are still : Having the problem they were trying to treat, discuss it with them on your follow-up appointment. You can ask them what they think and what are your options. If you are past that, consider getting your records reviewed and getting a second opinion by someone who is the same specialty. ...Read more

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How long after an EP study/ablation can complications occur? How long does it take to heal and eliminate the risks?

How long after an EP study/ablation can complications occur? How long does it take to heal and eliminate the risks?

It is unlikely for: late complications following an EP study but it does depend a bit on exactly what was done, for what diagnosis and if any intervention such as device implantation or radio frequency ablation was performed. Without additional details a specific answer for your questions is not possible. ...Read more

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I have just been diagnosed with post ablation syndrome, I understand what it is but want to make sure hysterectomy is the best option. ?

I have just been diagnosed with post ablation syndrome,  I understand what it is but want to make sure hysterectomy is the best option. ?

Bleeding: Hysterectomy is usually to control bleeding : some women (6%-25%) have reported heavy bleeding that was unchanged at one year following the procedure. These women may require further surgery (re-ablation or hysterectomy) to control the bleeding. About half of the women who had endometrial ablation will not have periods at all following the procedure. Get a 2nd opinion if you have questions ...Read more

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I had a thermal ablation in 2011, but want a child now. I know the risks and still want to proceed. Are there any procedures that can help?

I had a thermal ablation in 2011, but want a child now. I know the risks and still want to proceed. Are there any procedures that can help?

Risky: Pregnancy after endometrial ablation is unlikely and when it occurs is at high risk for serious complications such as abnormal placental attachment, hemorrhage, preterm delivery, and bleeding leading to need for hysterectomy. Pregnancies after ablation have a 49 percent termination rate in addition to the above complications. If you are willing to take these risks, discuss your plans with a good OB GYN willing to closely follow you and manage complications to the degree possible. ...Read more

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What are my chances of having a baby after having a tubial & an ablation Im 26 now I had both done when I was 21 and if its poss what do I need to do?

What are my chances of having a baby after having a tubial & an ablation Im 26 now I had both done when I was 21 and if its poss what do I need to do?

Slim to none: If you have functioning ovaries, you could have them harvested, fertilized in the lab and carried to term by a surrogate. You should consider the issue closed unless you are ready to have someone else carry your baby. ...Read more