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Cardiac ablation Open pop-up dialog box
Cardiac ablation is a procedure that scars tissue in your heart to lớn blochồng abnormal electrical signals. It"s used lớn restore a normal heart rhythm. Long flexible tubes (catheters) are threaded through blood vessels khổng lồ your heart. Sensors on the tips of the catheters use heat or cold energy to lớn destroy (ablate) the tissue. This illustration shows a type of cardiac ablation called pulmonary vein isolation.
Pulmonary vein isolation is a procedure khổng lồ treat an abnormal heart rhythm called atrial fibrillation.
Pulmonary vein isolation is a type of cardiac ablation. Cardiac ablation uses heat or cold energy to create tiny scars in your heart to bloông chồng abnormal electrical signals and restore a normal heartbeat.
In pulmonary vein isolation, the tiny scars are created in the left upper chamber of your heart in the area where the four lung (pulmonary) veins connect. Your pulmonary veins bring oxygen-rich blood from your lungs khổng lồ your heart.
Why it"s done
Pulmonary vein isolation is done khổng lồ reduce the signs & symptoms of atrial fibrillation, such as heart palpitations, shortness of breath & weakness. If you have sầu atrial fibrillation, the procedure can help improve your chất lượng of life.
Pulmonary vein isolation is usually done after you"ve sầu tried medications or other treatments first.
Possible risks of pulmonary vein isolation include:Bleeding or infection at the site where the catheter was inserted Blood vessel damage Heart valve damage New or worsening arrhythmia Slow heart rate that could require a pacemaker to correct Blood clots in your legs or lungs (venous thromboembolism) Stroke or heart attack Narrowing of the veins that carry blood between your lungs and heart (pulmonary vein stenosis) Damage to your kidneys from dye, if used during the procedure (dye is not used in all types of ablation) Injury or ulceration of the swallowing tube (esophagus), which runs behind the heart Death in rare cases
Discuss the risks & benefits of cardiac ablation with your doctor khổng lồ understand if this procedure is right for you.
How you prepare
Your doctor may order several tests khổng lồ get more information about your heart condition before your cardiac ablation.
You"ll need to lớn stop eating và drinking the night before your procedure. Your doctor or nurse will tell you how or if you should continue any medications before a cardiac ablation.
What you can expect
Pulmonary vein isolation is done in the hospital. A speciamenu will insert an IV into your forearm or hvà and give you a medication called a sedative to lớn help you relax.
The amount of sedation needed for the procedure depends on your specific arrhythmia and other health conditions. You may be being fully awake or lightly sedated, or you may be given general anesthesia (fully asleep).
Catheter insertion points for cardiac ablation mở cửa pop-up dialog box
Catheter insertion points for cardiac ablation
The doctor inserts long, flexible tubes (catheters) through a blood vessel inkhổng lồ your heart. The catheters may be inserted through a blood vessel in your groin (most common), shoulder or nechồng (less common).
Your doctor may inject dye through the catheter, which helps your blood vessels show up more clearly on X-ray images. Dye isn"t always used. It depends on the specific type of ablation.
Sensors on the tip of the catheter skết thúc electrical impulses & record your heart"s electricity. Your doctor uses this information to lớn identify the area that is causing your arrhythmia và lớn decide where to apply the ablation. This part of the procedure is called an electrophysiology (EP) study.
The doctor moves the catheters from the upper right chamber of your heart to the upper left chamber of your heart where your pulmonary veins connect. Heat (radiofrequency energy) or extreme cold (cryoablation) is used khổng lồ create small scars in the target area and bloông chồng the abnormal heart rhythms. Usually, each of the four pulmonary veins is treated during pulmonary vein isolation.
You may feel some minor discomfort when the catheter is moved into lớn your heart & when energy is being delivered. If you have severe pain or shortness of breath, let your doctor know.
Pulmonary vein isolation usually takes three khổng lồ six hours lớn complete (but it can vary a lot based on your specific type of arrhythmia).
Afterward, you"ll be taken to lớn a recovery area to rest quietly for a few hours. Your heartbeat và blood pressure will be monitored continuously lớn check for complications of the procedure.
Depending on your condition, you may go trang chính the same day or spover the night in the hospital. Plan khổng lồ have someone else drive you home page after your procedure.
You may feel a little sore after your procedure, but the soreness shouldn"t last more than a week. You"ll usually be able khổng lồ return lớn your normal activities within a few days after having pulmonary vein isolation.
Most people see improvements in their chất lượng of life after cardiac ablation, including pulmonary vein isolation. But there"s a chance that your abnormal heartbeat may return. If this happens, the procedure may be repeated or you and your doctor might consider other treatments.
Pulmonary vein isolation has not been shown lớn reduce your risk of a stroke, so your doctor may recommend that you continue blood-thinning medications.
Huang SKS, et al., eds. Pulmonary vein isolation for atrial fibrillation. In: Catheter Ablation of Cardiac Arrhythmias. 4th ed. Elsevier; 20trăng tròn. https://www.clinicalkey.com. Accessed March 10, 2021. Noseworthy PA (expert opinion). Mayo Clinic. Feb. 5, 2021. Passman R. Atrial fibrillation: Catheter ablation. https://www.uptodate.com/contents/tìm kiếm. Accessed March 8, 2021. Zipes DPhường, et al., eds. Ablation for atrial fibrillation. In: Cardiac Electrophysiology: From Cell khổng lồ Bedside. 7th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed March 8, 2021. Catheter ablation. National Heart, Lung, & Blood Institute. https://www.nhlbi.nih.gov/health-topics/catheter-ablation. Accessed Jan. 21, 2021. Brown A. Allscripts EPSi. Mayo Clinic. Feb. 4, 2021. Zipes DP., et al., eds. Catheter ablation: Clinical aspects. In: Cardiac Electrophysiology: From Cell lớn Bedside. 7th ed. Elsevier; 2018. https://www.clinicalkey.com. Accessed Feb. 2, 2021. Bonow RO, et al., eds. Therapy for cardiac arrhythmias. In: Braunwald"s Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed Feb. 2, 2021. Ganz LI. Overview of catheter ablation of cardiac arrhythmias. https://www.uptodate.com/contents/tìm kiếm. Accessed Feb. 2, 2021.