← Return to What downside have you experienced after an ablation?

Discussion
Comment receiving replies
@drdianeschneider

Hi mishel-- By now you may have made your decision about ablation. Of course, all of the cardiologists and esp. the EP's are pushing ablations like crazy, but even though I have AF episodes every 2 weeks or so, my episodes feel mild and I don't get nausea, dizziness, pain, etc. as many do. Flecainide works in 2-4 hrs for me, with no side effects. Even Pulsed Field Ablation still has risk and downsides that don't seem to get discussed. Ablation still is no sure thing, and most people seem to have to stay on blood thinners, flecainide, etc. even after ablation. Every one of my friends who has had an ablation has needed a 2nd and even 3rd, and even then they are still on meds, maybe for life; I only take flec when I get an episode. If flec stopped working I might consider a Cox Mini-Maze or its variant, or maybe a Pulsed Field Ablation if I were having daily AF episodes, but only with a specialist who has done over 1,000 of them. My final caveat is that I have other health history that I don't want to stir up by the possible effects of an ablation. Yes, amiodarone is a strong drug, but my mother has been on it for 25 years at 100 mg per day with no side effects (& no AF!); so I think of it as a possible back-up if flecainide were to stop helping me. Sorry to go on so long! But yes, I'm one who is doing flec instead of ablation and don't regret it. All best wishes, Diane

Jump to this post


Replies to "Hi mishel-- By now you may have made your decision about ablation. Of course, all of..."

The success and failure rates for ablation vary by a wide margin, and this in unfortunate. Some of it is due to the complexity of the case, but the fact is that the very best EPs have a higher success rate for first and second ablations than do the majority of EPs...and it is the latter that contribute to the disappointing 25% failure rate. The best EPs have skill and experience, but also patience, time, a willingness to be open-minded, and are not formulaic...they are essentially artists at their craft. So, it behooves the patient to shop around and to get in line for the best procedures, even if it means a 3-6 month wait. If you get among the best, they will take YOUR time with you, assess you properly, map your atrium properly, and then do what they see they must do so that you needn't return to them in a few months or a year or two.