What happens after the Atrial Flutter ablation? Life-threatening complications like stroke or heart attack are very rare.This usually settles without treatment but can also be dealt with by inserting a drain from the chest wall.
Perforation: there is a very small chance of causing a leak of blood around your heart.There is a very small risk of requiring a pacemaker if the normal and necessary electrical system of the heart is damaged. Abnormal heart rhythms: these are deliberately provoked during the procedure, but can become unstable requiring an electric “shock” to restore a normal heart rhythm.Usually these settle by themselves, but sometimes medications, injections or small operations are required to fix them. Blood vessel problems: bleeding, bruising, damage to the vessel wall, abnormal connections and blood clots can form in the blood vessel in your groin or higher up near the heart.Although most patients who undergo ablation for Atrial Flutter do not experience any complications, you should be aware of the following risks: The worldwide complication rate for ablation procedures is less than 0.5%. What are the risks of Atrial Flutter ablation?Īblation for Atrial Flutter is commonly performed and is a low-risk procedure. There is a 5% chance of Atrial Flutter recurring after an apparently successful procedure. This procedure carries an approximately 95% chance of curing your Atrial Flutter. What is the success rate for ablation for Atrial Flutter? The ablation procedure including EPS will take between 1 and 2 hours.
Patients may feel a transient warm discomfort in the chest during the delivery of radiofrequency ablation energy. Radiofrequency energy is applied to the short circuit in the right atrium. Radiofrequency ablation can be performed under local anaesthetic with sedative medications or sometimes under general anaesthesia. Radiofrequency ablation is usually carried out during the same session following your EPS as the necessary catheters within the heart are already in place. Please refer to the section on EPS on how EPS is performed. How is Radiofrequency Ablation performed for Atrial Flutter? Some patients may require a trans-oesophageal echocardiogram to exclude the presence of any clots within your heart. You would usually be asked not to stop your Warfarin for the procedure you should clarify this with your Electrophysiologist, especially if you are taking a different blood-thinning medication. If you have persistent Atrial Flutter, you may be asked to take Warfarin for at least 4 weeks prior to your procedure. How do I prepare for Atrial Flutter ablation? This is a procedure performed by an Electrophysiologist to provide a cure for Atrial Flutter and is explained in detail below. This is an effective treatment, although at least half of those who undergo an initially successful cardioversion will have another episode of Atrial Flutter over the next year. This is a treatment to revert Atrial Flutter back to a normal rhythm by delivering an electric shock under brief general anaesthesia. Your doctor will discuss this with you.ĭC Cardioversion. Blood thinning medications will be recommended to reduce the risk of stroke for most people with Atrial Flutter. However, in most patients, Atrial Flutter can be challenging to manage with medications alone. Tablet treatments can be effective in some patients. What treatments are available for Atrial Flutter? The main reason to cure Atrial Flutter aside from treating the symptoms is to avoid the risk of heart failure related to a persistently high heart rate. If your risk is high, your doctor may recommend Warfarin or one of the newer agents (novel oral anticoagulant, or NOAC). A risk assessment for stroke due to Atrial Flutter will be calculated. This is minimised by using blood thinning medications, which act by preventing blood clots in the heart. There are two main issues to address in treating Atrial Flutter. What are the treatment priorities for Atrial Flutter? Ineffective circulation of blood in the atrium from flutter can leave patients at risk of stroke, similar to Atrial Fibrillation. In some people, it can cause heart failure. Atrial Flutter can cause palpitations, breathlessness and tiredness.
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