← Return to Isolated Atrial Fibrillation Episodes: Is Ablation a Good Fit?

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@gloaming

PFA is currently only approved for a simple PVI, or pulmonary vein isolation. I am not an expert in this field, but it seems to me that, after three previous ablations, the area around your pulmonary veins should be well scarred. So, you may have another focus, or re-entrant, for the new signal, and it won't be in a place where PFA can be applied. Again, maybe I'm not up to date and it is now approved for other areas of the left atrium. Last I knew, it was only to be used at the pulmonary vein ostia, or where they empty into the left atrium's posterior wall. So I'm curious as to how your EP knows that he/she can use PFA....for a fourth application.

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Replies to "PFA is currently only approved for a simple PVI, or pulmonary vein isolation. I am not..."

He is the head professor cardiologist at the hospital, he knows what he is doing.
He is the expert so I trust him and he is always looking after me.
There is no limit to how many ablations you can have, I've done alot of research myself.
Im listening to him before I listen to you
Thanks

I had a PFA on 12/9/24. In addition to PVI, the EP used it on the back wall of my left atrium where there was evidence of scarring from AFib.

You have to be careful. We had two cardiologists in Maryland get caught over-diagnosing coronary artery disease so they could do unnecessary stents. I lost two teeth from a Maryland dentist who pretended to provide the necessary dental care so he could offer more expensive procedures. I would not be surprised if there were Cardiologists who under-treat patients so they can do more procedures. It may be worth getting a second opinion if it takes more than one ablation. What are they going to do, burn/scar your entire atria?