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Doctor insights on: Atrial Ablation

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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

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Dr. Linda Callaghan
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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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

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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

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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

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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

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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

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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

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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

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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

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

I have atrial fibrillaiton and have no success controlling it. Im 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

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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

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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

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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

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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

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

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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

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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

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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

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