Is 81 year old too old for ablation?

Posted by fdixon63 @fdixon63, 4 days ago

I'm an 81 year old female who had an ablation 11 years ago. Now having problems with being out of rhythm. I am on 200 mg of Amiodorone daily. It helps sometimes but not always. Are there others who are in similar situation--perhaps that did get an ablation? What was your experience following this procedure? Thanks.

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Profile picture for fdixon63 @fdixon63

@gloaming - Thank you for your response. It gives me hope and also some questions to ask the EP when I see him on the 20th. I wish the EP that did my ablation 11 years ago was still in our area. He was Peruvian and went back there for awhile and I think he is now in the Miami area. He was my hero for sure. God Bless!!!

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@fdixon63 Glad your EP was so good. Would you mind sharing his name. I am not far from the Miami area.
thanks

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Don't think 81 is the issue. It's our status... if the meds don't work for whatever reason, life is miserable, and we're otherwise healthy and can tolerate the typical surgical burden, and we have a really competent doc on board whose done thousands of these procedures, then we can give it a shot.

But remember: these are not always successful, quite often they're not successful... even after several, and sometimes things go bad while you're on the table, or complications arise which can be serious... and in a few cases even deadly. That's why we're asked to sign the consent form.

As long as I remain in the consistent excellent physical status I'm in (per my EP and GP), functional, without issues, without compromising my general health, continue to tolerate the only med I'm on (Apixaban), able to do basically anything I want to do (exercise, work around the house, etc), I'm choosing to not roll the dice. We're all experiments of one.

All the best!

/LarryG

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I think it depends on the hospital. I've had 2 at the same hospital – one for A-flutter and the other for paroxysmal Afib and each one was preceded by a TEE. But I know other posters have had them without a TEE,

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I’m 78 and I’m scheduled for a ventricular ablation at Mayo in September.

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Profile picture for gloaming @gloaming

@fdixon63 It was not part of my workups. I had chest x-rays, MIBI stress test on a treadmill with contrast and CT scan (X2), MRI, echocardiogram, and an angiogram. These were all to rule out structural abnormalities or defects and to rule out ischemia, which is what my cardiologist thought might have caused my AF.

I did have a TEE (trans-esophageal echocardogram) tube inserted down my esophagus during both catheter ablations. These must be done during GA since 99% of us would balk and fight it while it's being inserted. And catheter ablations are done under GA 99% of the time (very few rare exceptions).

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@gloaming - I've had a TEE (trans esophageal echocardiogram) twice. My concern is, I have a very small mouth and am worried about my teeth getting chipped or broken during the procedure. About two years ago I had several teeth break off at the gum line--cause unknown. I don't need to lose any more teeth.

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Profile picture for anniemoe77 @anniemoe77

I’m 78 and I’m scheduled for a ventricular ablation at Mayo in September.

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@anniemoe77 - wishing you the best.

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Profile picture for medenaro @medenaro

@fdixon63 Glad your EP was so good. Would you mind sharing his name. I am not far from the Miami area.
thanks

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@medenaro -I don't have his first name but sir name is Osorio. Good luck.

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Profile picture for fdixon63 @fdixon63

@gloaming - I've had a TEE (trans esophageal echocardiogram) twice. My concern is, I have a very small mouth and am worried about my teeth getting chipped or broken during the procedure. About two years ago I had several teeth break off at the gum line--cause unknown. I don't need to lose any more teeth.

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@fdixon63 Those are legitimate and reasonable concerns, and they should be expressed in direct consultation with the anaesthetist. I told the one who did my second catheter ablation anaesthesia about my first TEE experience, and he seemed delighted that I had spoken up about it. He said he would take pains to ensure my throat wasn't like desert-bound sand-paper when I awakened, and he was right. But I did speak to him.

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Profile picture for larryg333 @larryg333

Don't think 81 is the issue. It's our status... if the meds don't work for whatever reason, life is miserable, and we're otherwise healthy and can tolerate the typical surgical burden, and we have a really competent doc on board whose done thousands of these procedures, then we can give it a shot.

But remember: these are not always successful, quite often they're not successful... even after several, and sometimes things go bad while you're on the table, or complications arise which can be serious... and in a few cases even deadly. That's why we're asked to sign the consent form.

As long as I remain in the consistent excellent physical status I'm in (per my EP and GP), functional, without issues, without compromising my general health, continue to tolerate the only med I'm on (Apixaban), able to do basically anything I want to do (exercise, work around the house, etc), I'm choosing to not roll the dice. We're all experiments of one.

All the best!

/LarryG

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@larryg333
Thank you, larryg333, for sharing your insights. I opted out of ablation and have had three cardioversions, enjoying decent energy during the times between them. Informing my decision to opt out of ablation is the experience of a friend who chose a tricky heart valve surgery and ended up on a ventilator in rehab for a nearly two years before she died. This created a years-long burden on friends to settle her complicated estate. As I do, she lived alone, so nobody knew the intricacies of her finances. This Mayo Clinic support group has been helpful in presenting the downsides to ablation rather than the rosy picture painted by my EP and the friends who "know someone who had an ablation and is just fine"! Everyone is different, and I have 80 years of amazing and unexpected experiences to look back on and enjoy again. As larryg333 noted, we're all experiments of one.

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Profile picture for fdixon63 @fdixon63

@medenaro -I don't have his first name but sir name is Osorio. Good luck.

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@fdixon63 I found him! Dr. Jose Osorio and he has The Afib Clinic in Miami.
Thanks for the recommendation.

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