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Conditions Treated Our Approach to Ablation For many people with atrial fibrillation AFib and certain other abnormal heart rates known as arrhythmias, medications do not work to reduce their symptoms. Make an Appointment. Find a Clinic. Co-invented by our medical director, this procedure uses extreme cold to freeze arrhythmia-causing heart cells.
Leading expertise in FIRM ablation , a new technology for locating and treating the precise regions in your heart that cause arrhythmia.
We were one of the first U. A national clinical trial is currently underway. Make An Appointment. What Is Cardiac Ablation? Conditions Treated. Conditions Treated with Cardiac Ablation. Previous Section Next Section. Our Clinics Cardiac Arrhythmia Service. Vascular and Endovascular Care. After the medication has taken effect, your doctor will numb an area in your groin and make a small hole in your skin.
Then, the doctor will place three or four catheters through blood vessels to your heart to help guide the procedure. After the catheters have been placed, electrodes at the ends of the catheters are used to stimulate your heart and locate the area that is causing the abnormal heart rhythm.
Other types of ablation techniques may be used, such as cryoablation, in which very cold temperatures destroy the problem area. Your doctor will decide which type of ablation therapy is most appropriate for you.
Once the tissue is destroyed, the abnormal electrical signals that created the arrhythmia can no longer be sent to the rest of the heart. Most people do not feel pain during the procedure.
You may sense mild discomfort in your chest. After the ablation is over, your doctor will remove the guide wire and catheters from your chest.
After the catheter ablation, you will probably need to lie still for two to six hours to decrease the risk of bleeding. Medical staff members may apply pressure to the site where the catheter was inserted. Special machines will monitor your heart as you recover. Medicines help, but their side effects bother you a lot. You can't take the medicines because of other health problems.
You have only mild symptoms that don't really bother you. You aren't bothered by side effects of heart rhythm medicines. Compare your options.
Compare Option 1 Have catheter ablation Don't have catheter ablation. Compare Option 2 Have catheter ablation Don't have catheter ablation. Have catheter ablation Have catheter ablation The treatment is done in a hospital and takes 2 to 6 hours. You probably will not be fully awake during the treatment. You may be lightly sedated or completely asleep. You may have some discomfort, either from having to lie still or from the ablation itself.
Talk to your doctor if you are worried about this. You will probably stay in the hospital for 1 or 2 days. Many people feel a lot better after this treatment. If the treatment works, you won't need heart rhythm medicine. Ablation has serious risks, although they are rare. They include stroke and death. If ablation doesn't work the first time, you may need to have it done again. Don't have catheter ablation Don't have catheter ablation You take heart rhythm medicine to treat atrial fibrillation.
You don't have to worry about the rare but serious risks of ablation. You will likely continue to have symptoms of atrial fibrillation. Heart rhythm medicines may increase your risk of getting a more serious heart rate problem.
You will need frequent checkups so your doctor can watch you closely while you take these medicines. If you also have heart disease, your risk of serious side effects from these medicines may be higher. Personal stories about considering catheter ablation These stories are based on information gathered from health professionals and consumers. What matters most to you? Reasons to have catheter ablation Reasons not to have catheter ablation.
I'm not worried about having a procedure that involves my heart. The side effects of my heart medicines are bothering me a lot. The medicine side effects don't bother me that much. I'm bothered a lot by my heart rhythm symptoms. My symptoms don't bother me.
My quality of life is pretty good. My other important reasons: My other important reasons:. Where are you leaning now? Having catheter ablation Not having catheter ablation. What else do you need to make your decision? Check the facts. Yes Sorry, that's not right. Catheter ablation helps many people who have atrial fibrillation. It works best for younger people who have paroxysmal atrial fibrillation and little or no structural heart disease.
No You're right. I'm not sure It may help to go back and read "Get the Facts. Yes That's correct. Experts don't know if ablation lowers your risk of stroke. If a person takes a blood thinner before having an ablation, they will continue to take it to lower their risk of stroke.. No Sorry, that's not right.
If a person takes a blood thinner before having an ablation, they will continue to take it to lower their risk of stroke. Yes That's right. You may need to have it done a second time. No Sorry, that's not correct. If the first ablation doesn't get rid of the problem completely, you may need to have it done a second time.
I'm not sure. It may help to go back and read "Get the Facts. Decide what's next. Yes No. I'm ready to take action.
I want to discuss the options with others. I want to learn more about my options. Your Summary. Your decision Next steps. Your knowledge of the facts Key concepts that you understood. Key concepts that may need review. Getting ready to act Patient choices. What matters to you. Print Summary. Credits and References Credits. January CT, et al. Circulation, published online March 28, DOI: Accessed April 18, Calkins H, et al. Heart Rhythm, 9 4 : — Tedrow UB, et al. Electrophysiology and catheter-ablative techniques.
In V Fuster et al. New York: McGraw-Hill. Cappato R, et al. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation.
Circulation: Arrhythmia and Electrophysiology, 3 1 : 32— Agency for Healthcare Research and Quality Get the facts Compare your options What matters most to you?
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