← Return to Another ablation after 20 years, how have they changed?

Discussion
Comment receiving replies
Profile picture for janegul @janegul

First-time posting here. I am considering PFA for Afib/flutter. Cardioversion for flutter worked for 14 months. Then AFib set in and second cardioversion did not work completely, although my heart rate is now normal. The cardioversions were done by cardiologists. I've now been seen by the EP who suggested the PFA. I am 82 and uncertain whether to have this complicated procedure. My torso is compressed due to moderate scoliosis, making me concerned about insertion of the catheters. I'm not enthusiastic about anesthesia, either, having had several prior lengthy surgeries. I will appreciate all insights from this group. Thank you in advance.

Jump to this post


Replies to "First-time posting here. I am considering PFA for Afib/flutter. Cardioversion for flutter worked for 14 months...."

@janegul second opinion always. Ask about Blanking Period after procedure 3 months after PA heart rate. I had PA and watchman went well over 3 weeks ago. 6 days ago as soonest I started walking my hr goes up 112 to 120 I feel fine when I sit a tiny shortness of breath. I feel fine just annoyed Is called the Blanking Period I have an Apple Watch very helpful. The very best to you

@janegul I am not an expert, nor am I a physician. However, I don't see how scoliosis can have a substantially detrimental effect on the passage of a catheter up your femoral vein to your heart. After all, your own blood doesn't seem to have any trouble with that path!

I can't address your concerns over anesthesia, but I do think you are right to at least inquire and to be wary. My own father was recently in hospital and was being told he might have to have surgery under a GA. He mentioned the caution typical for well-ripened seniors, but the internist said it was a lot of hogwash. No worries, he said. It may be true that some aged people won't do especially well under GA, but I suspect they have other problems that a GA would likely exacerbate.

And if the worse comes to the worst, some anesthetists can snow you just enough that you're fully sedated but not 'out'.

@janegul I had a catheter ablation for. SVT 3 weeks ago. 3 hours, done completely under conscious sedation. The "conscious " part is a bit of a misnomer; I remember absolutely nothing! But my after-surgery report says I was "awake, alert and participated in the procedure." There was no leftover grogginess at all, I was in recovery about 20 minutes before they sent me back to my room. Home a few hours later, zero leftover anesthesia effects. After that experience, I'm no longer nervous about conscious anesthesia.