Top
30
Doctor insights on: Atrial Ablation

Share
1

1
What are some of the risks for an atrial ablation?

What are some of the risks for an atrial ablation?

Ablation: Perforation, clot-emboli-stroke, injury to esophagus, phrenic nerve injury, and some others but these are all rare provided that ablation is done by experts with methods to prevent complications. ...Read more

Dr. Jan Lei Iwata
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


3

3
Is atrial ablation safe for my son who has wpw?

Is atrial ablation safe for my son who has wpw?

Yes: It is actually known as catheter ablation. Catheter ablation has very little risk when performed by an experienced cardiologist. The ablation procedure provides a cure over 95% of the time and can be performed without significantly increased risk in children as young as five years. Recovery is quick with most patients returning to full activity in a few days. ...Read more

4

4
Will the accuracy of mapping of the heart be compromised if general anesthesia is used during mapping for a pediatric atrial ablation?

Will the accuracy of mapping of the heart be compromised if general anesthesia is used during mapping for a pediatric atrial ablation?

No: The medications used will not interfere with the mapping of the heart. The general anesthetic will actually make the procedure easier since the child will not move during the procedure. ...Read more

5

5
What is the success rate of ablation of atrial tachycardia?

What is the success rate of ablation of atrial tachycardia?

Great question: It's variable depending on location (left vs right sided). Talk to the electrophysiologist who would perform to get best information specific. ...Read more

6

6
Which is better for an atrial flutter: cardioversion or ablation?

Which is better for an atrial flutter: cardioversion or ablation?

Define better please: What does better mean? Initial atrial flutter ablation success rates run around 80-85%. This for the typical flutter variety. A form of atrial flutter called atypical atrial flutter has a much lower success rate. But ablation is invasive, meaning there is inherent risk such as perforation of the heart, pericardial effusion, need for permanent pacemaker implantation, etc. Such risks are very rare ...Read more

7

7
Can you recommend the best reference source to learn more about ablation of atrial fibrillation?

Can you recommend the best reference source to learn more about ablation of atrial fibrillation?

ACC or AHA: Hello marina --
yes, you can find comprehensive reference and patient educations at the american college of cardiology or american heart association websites -- please just google them. ...Read more

8

8
What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

What is the indication for surgical ablation (av node ablation) for atrial fibrillation?

Definitive Control: We don't generally do this with surgery, but rather with a "catheter" based procedure (wire we thread into the heart that cauterizes the av node). This procedure provides complete control of the heart rate in the lower chamber and excellent symptom control, but makes people dependent on the pacemaker that *must* be implanted with this procedure. ...Read more

9

9
If you've had a previous ASD repair with your own tissue, can you still be able to get an ablation for atrial fibrillation decades later?

If you've had a previous ASD repair with your own tissue, can you still be able to get an ablation for atrial fibrillation decades later?

Ablation: You can have an ablation after ASD repair but you should go to a referral center where this is done more often. It is much more complicated than a simple Afib ablation
...Read more

10

10
I had catheter ablation for atrial flutter at BW. How long before I resume normal exercise. I was a rower & am used to strenuous workouts. I am 62.

A flutter ablation: I would give yourself time to heal. Atrial flutter ablations are not simple and benign procedures. I would make sure you stay in a good rhythm and give yourself a couple of weeks. ...Read more

11

11
Is there a number one doctor-recommended reference source to know more about ablation of atrial fibrillation?

Is there a number one doctor-recommended reference source to know more about ablation of atrial fibrillation?

AHA or ACC: American heart association: www. Heart. Org or american college if cardiology: www. Cardiosmart. Org. ...Read more

12

12
O've had two heart surgeries as a child and had an ablation for atrial fibrillation. How often should I see my cardiologist?

O've had two heart surgeries as a child and had an ablation for atrial fibrillation. How often should I see my cardiologist?

Visit returns: Frequency for re checks really depends on the problem (s) and the symptoms. Not knowing what your surgeries were or the success of the ablation it is hard to say. If all has been repaired and no symptoms and sinus rhythm are stable, then yearly visits would likely be fine. If you're having problems, then they would dictate the frequency of return visits. ...Read more

13

13
Can cardiac ablation for atrial fibrillation cause damage to the coronary arteries close to the ablation site

Can cardiac ablation for atrial fibrillation cause damage to the coronary arteries close to the ablation site

Yes but it's rare: The coronary arteries, most specifically a branch of the left circumflex artery run directly beneath a structure called the left atrial appendage. Ablation in that region, or just behind it puts rf energy near that artery. However, the artery has very high flow (relatively speaking) and is thus protected from damage the majority of the time. ...Read more

14

14
I have atrial fibrillaiton and have no success controlling it. I'm looking for advice on possible ablation?

I have atrial fibrillaiton and have no success controlling it. I'm looking for advice on possible ablation?

Possibilities: Possibilities are av node ablation which is burning the av node with radio frequency, rf, ablation or ablation of the atrial fibrillation which requires scarring of the surrounding pulmonary vein. In some cases av node ablation may result in the need for a pacemaker. Atrial fibrillation ablation is more successful if the left atrium is less than 4.5cm and the duration of the af is less than 6 mos. ...Read more

15

15
What to do if I have atrial fibrillaiton and have no success controlling it. I'm looking for advice on possible ablation?

Boston?: You live in city that is overflowing with amazing medical facilities! Ask your doctor for a referral to an electrophysiologist. The Brigham and Women's Hospital has one heck of a good reputation! (as do many other Boston hospitals). ...Read more

16

16
Should I get ablation for my atrial fibrillation and is the robot the right way to go?

It depends: The robot for atrial fibrillation will probably not improve the outcomes of the ablation. It may make the procedure slightly faster, or perhaps less xray use - but the outcomes are about the same as the non-robot ablation. ...Read more

17

17
I had a pacemaker put in last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

I had a pacemaker put in last year and had a ablation done also. Now they want to do a atrial ventricular node. How would this help me?

AV node ablation: AV node ablation prevents the fast heart rhythm in the upper chambers (such as SVT or atrial fibrillation), from affecting the lower chambers. If the fast rate of the lower chambers can not be controlled, it could damage your heart. The concern is that the AV node ablation, leaves you dependent on the pacemaker for life. Continue discussing with heart rhythm specialist, to answer all questions. ...Read more

18

18
What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation

Alternate technique: My understanding is that FIRM (focal impulse and rotor modulation) ablation is, perhaps, a more advanced ablation system using a very sophisticated catheter that, purportedly, maps locations/rotors that seemingly could trigger & sustain AF. Success up to 80% in controlling AF for 2 years is reported, better than with standard ablation. Risks should be similar. Careful case selection is important! ...Read more

19

19
Is cardioversion or ablation more effective for treating an atrial flutter?

Cardioversion/ablati: Cardioversion is used to treat individual episodes if they don't recurr frequency, if chronic or recurrent atrial flutter is present, then ablation attempts to prevent the rhythm from recurring long term hopefully permanently. ...Read more

20

20
I unfortunately have a dilated left atrium and afib Lateral size 6.00 cm Is there any point in an ablation to ease this disease?

I unfortunately have a dilated left atrium and afib Lateral size 6.00 cm Is there any point in an ablation to ease this disease?

It depends on the: Type of ablation that is proposed. Your question needs to be more specific. Are you thinking an afib ablation or are you thinking an AVnode ablation with pacemaker implantation. Ask the question again but define the ablation. ...Read more

21

21
Do you think Atrial Fibrillation would improve with an ablation? Only remedy so far is cardioversion

Yes: RF ablation for atrial fibrillation and/or atrial flutter in good hands ought to be curative. Factors that determine success: electrophysiologists experience and record of success, duration of AF; size and function of Left atrium. Good luck! ...Read more

22

22
I had catheter ablation for SVT and atrial flutter yesterday. Should I feel a different heartbeat if I'm cured?

Yes: If you were constantly in an abnormal rhythm and the ablation was successful, you should feel different. However, if the rhythm was intermittent it may be more difficult to discern a difference. ...Read more

23

23
How safe is a cardiac ablation? Will it help to cure atrial fibrillation? If it does, will I have to continue taking medication

Usually safe: Although many serious complications can occur during an ablation, when performed by a skilled physician with plenty if experience in a good hospital it is usually very safe. When successful an ablation may allow a patient to come off medications prescribed for the arrhythmia which was ablated. Atrial fibrillation is an arrhythmia which can be cured with ablation. ...Read more

24

24
I understand that atrial fibrillation is a type of arrhythmia. Is ablation used to treat only afib or other arrhythmia conditions?

I understand that atrial fibrillation is a type of arrhythmia. Is ablation used to treat only afib or other arrhythmia conditions?

It varies: Catheter ablation is available for many different types of arrhythmias - ventricular tachycardia, svt, as well as atrial fibrillation. They are all a bit different in technique as well as risks/success rates. ...Read more

25

25
I had a pacemaker put in last year. I had a ablation done also. Now they are talking about going in and atrial ventricular node. How would it help me?

I had a pacemaker put in last year. I had a ablation done also. Now they are talking about going in and atrial ventricular node. How would it help me?

Total control: To obtain total control of your heart beat, ablation of the AV node is necessary to interrupt all beats from the atrium above and let the pacemaker in the ventricle control your heart beats. I assume the initial ablation apparently failed to correct the A Fib and you continue to have fast uncontrolled heart rate, thus the decision to ablate the AV node ...Read more

26

26
Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Why would I be completely be dependent on my pacemaker if I have the AV node ablation Such as SVT are atrial fibrillation?

Electricity: The heart is a house with 2 chambers upstairs (atria) and 2 chambers downstairs (ventrical). The electricity to the downstairs chambers comes from the upstairs chamber. The connecting point between the tow floors is called AV node. If you cut this AV node, the lower chambers will not have electricity to work, so u need to provide the lower chamb with anther source of electricity, that is pacemaker ...Read more

27

27
Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Can I have Atrial Flutter (AF) while wearing a pacemaker for complete heart block? Do I need ablation or it managable by using medication?

Complex question: Your best off using HealthTap Prime to ask this question, since it's complex & answer is nuanced. The only problem, as I see it, is that with ongoing AF, you can develop clots (thombus) that can dislodge & cause a stroke. Your heart RATE should be controlled by the pacemaker, so the only adverse effect of AF would be a stroke. This can be mitigated by anticoagulants (blood thinners). Use HT Prime. ...Read more

28

28
I had afib and had a ablation and now have left atrium tachacardia, now they want to do another ablation. I am on coreg (carvedilol) and flecainide. What to do?

I had afib and had a ablation and now have left atrium tachacardia, now they want to do another ablation. I am on coreg (carvedilol) and flecainide. What to do?

Choices: If your heart rate is controlled and you don't have symptoms of palpitations or shortness of breath, and if you're willing to take an anticoagulant like warfarin, you can get by without another ablative procedure. However it's best to follow the advice of your cardiologist who knows all your case. ...Read more

29

29
I need to undergo cardiac ablation to treat my atrial fibrillation, how do I select a doctor?

I need to undergo cardiac ablation to treat my atrial fibrillation, how do I select a doctor?

Eectrophysiologist: I agree that an electrophysiologist wil provide the best information regarding catheter ablation. It is important to ask questions regarding outcomes and success rates. I would recommend a university setting for this type of ablation that will provide the best staff as well as equipment. ...Read more

30

30
Can anyone tell me something about ectopic atrial tachycardia? I had an ablation for avnrt, but still have breakthrough episodes and doc says this.

Ablation: You might be having recurrence of avnrt, another type of arrhythmia but first the episodes should be documented with tests like Holter, event recorder before jumping into conclusions. ...Read more