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Doctor insights on: Ablation Vs Maze Procedure

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Dr. Marvin Ott
2 doctors shared insights

Ablation (Definition)

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 ...Read more


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What is a Cox maze procedure?

Cox Maze Procedure: read this: http://en.wikipedia.org/wiki/Cox_maze_procedure

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How many % the death risk for CABG to treat my LM 70%, & do with maze procedure ( to treat my AF) in the same time? i;m diabetic but i can controlled

How many % the death risk for CABG to treat my LM 70%, & do with maze procedure ( to treat my AF) in the same time? i;m diabetic but i can controlled

% risk: That question is pertinent but must be asked of the surgical/cardiology team(s) you are considering using. Each team has its own results and everyone doesn't have the same results. If your heart is otherwise normal and the rest of your body, lungs, kidney, blood stream, liver etc. are normal; then a risk of death of 5% or greater is excessive. A first rate team probably has a risk of less than 2% ...Read more

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What risks are associated with a mini maze procedure?

Mini maze: read this for info: http://www.stopafib.org/mini-maze.cfm?REFCODE=GooglePPC&Q=mini%20maze%20procedure

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I've AF & CAD 70% at LM. my EF is 68%, which one better, do the CABG alone or do the CABG with the maze procedure??

It depends.: It depends upon the echocardiographic data and the experience of the cardiac surgery team. One would want the surgery to be done by a team with experience doing a very large number of each procedure planned. The echo data can determine how large the atria are as well as the function of the heart; this will give a hint as to the likelihood for permanency of maze achievement of a normal rhythm. ...Read more

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Can you describe the maze procedure for atrial fibrillation?

Can you describe the maze procedure for atrial fibrillation?

MAZE and afib: In its earliest form, this was a very involved and high risk open heart surgical procedure. Over the years it has been refined to the point where it is much less risky and is often performed as part of other types of cardiac surgery. Catheter-based techniques are also used to treat afib in a less invasive way but should be performed by an experienced cardiac electrophysiologist. ...Read more

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I'm in AF also CAD ,which one more high risk between CABG alone with CABG do with maze procedure in same time??

Depends: This often depends on your particular characteristics and your anatomy. Increasingly, in appropriate cases, surgeons as performing the maze procedure in patients with afib who need CABG. The long-term success of eliminating afib is pretty good and the operative risk is low. You should discuss your particulars in more detail with your cardiologist and CT surgeon. Best of luck! ...Read more

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I'm in AF & CAD ( stenosis 70% in LM), could the CABG ( heart bypass) procedure do the same time with maze procedure to treat my AF??

CABG: the two procedures are not mutually exclusive but need to have clear indications for both and team skilled in the procedures. Should discuss with your doctors in detail to evaluate your options ...Read more

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I had a stress echo that showed decreased cardiac output with exercise. Anterolateral wall (especially in the neck) hypokinesia. I am 2 years out from my VATS Maze procedure?

I had a stress echo that showed decreased cardiac output with exercise. Anterolateral wall (especially in the neck) hypokinesia. I am 2 years out from my VATS Maze procedure?

These: findings are more consistent with old myocardial damage (Prior coronary /infarction) than any abnormal rythms Hope this is helpful Consult your Cardiologist for full explanation of the results of this echo. Dr Z ...Read more

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Which procedure would be best for a endometrail ablation thermal or novasure?

Which procedure would be best for a endometrail ablation thermal or novasure?

Either one: There really is no good answer to that question. The procedures are equally effective for most women. If your uterus is larger then 8-9 cm, your physician may choose thermal ablation which may be better for larger uterine cavities. If your procedure is done in the office, my experience has been that novasure is somewhat better tolerated and certainly quicker for the patient. ...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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How common is it to have a successful catheter ablation procedure?

How common is it to have a successful catheter ablation procedure?

Depends: The success rates of ablation procedures depend mostly on the rhythm that is being ablated. For some arrhythmias such as SVT or atrial flutter, long term success rates upwards of 95% are very common. Ablation for atrial fibrillation typically results in 1-2 year AF free rates around 70+%. Sometimes a combination of medication and ablation can improve freedom from arrhythmia. ...Read more

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Help plz! Can phlebectomy procedure be done with having ablation of gsv?

Help plz! Can phlebectomy procedure be done with having ablation of gsv?

Yes.: Phlebectomy (microphlebectomy) is often routinely performed in conjunction with GSV ablation. These procedures are done under local and tumescent anesthesia and are usually done in the office. Both of these procedures can also be performed independent of each other. ...Read more

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How long does an EP study withOUT ablation last? Can I stay awake during the procedure?

How long does an EP study withOUT ablation last? Can I stay awake during the procedure?

Well : It varies on the complexity the procedure can last from around an hour to six hours. You need to ask your cardiologist for specific advice ...Read more