flutter ablation

[caznear68]

Has anyone who is on Rivaoxaban had a flutter ablation? I worry about the risk of a bleed!!

[Hidden]

Try not to worry caznear, almost everyone who has an ablation with be taking anticoagulation medication. In my case, I was asked to miss my dose the evening and morning before the procedure. I take Apixaban which is twice per day, but the same principle will apply to Rivaroxaban and the other types of anticoagulant and this should be made clear at your pre procedure assessment. If it isn't then I suggest you ask. EP's are obviously aware of the risk, but I think you should be confident that they are experts in their field and are quite capable of dealing with cardiac tamponade which I believe is very rare.

[BobD Volunteer]

Just to add to Flapjack's post.many EP do ablation whilst the patient is still anticoagulated so please don't stress yourself. You will be given adequate instructions at your pre procedure appointment or by petter in good time.

[KMRobbo]

I had a flutter ablation for re-entrant flutter right Atria in Feb 26th 2018. I had been on Paradaxa (dabigatran) since Jan 4th which was 25 days before a cryo ablation left atria PVI i had on January 29th (which was before I developed flutter). I was only on the A/C so I could have the ablation. The EP put me on the A/C to reduce the stroke risk. I had to keep on the A/C for 2 months after the ablation also.

There was no problem with the bleeding in the groin after the ablation despite the A/C.

[Amcech]

I had no problem.

[fifitb]

I was taking Rivaroxaban before my atrial flutter ablation last July 2017, and was told to stop taking it the day beforehand. All was good. I am still on it now, awaiting ablation for actual atrial fibrillation. It is all scary isn't it. But, as already said in the reply above, they are professional people and experts in their field!

[caznear68 in reply to fifitb]

Thanks for your comments! Did you have a fast heartbeat with your flutter?

[fifitb]

Yes, I have a very fast heartbeat with the flutter well, fast for me: 180 bpm have been recorded by ambulance men. Then very slow but it is the fast, thumping beats that are scary. I also get minor 'episodes' a lot, that make me generally off colour (pallid) and still making me feel faint and dizzy. This all totally interrupts my quality of life. So far, I am still having the second ablation (for fibrillation) next Wednesday, up in London's Royal Brompton Hospital!

[caznear68]

I wish you well today and hope all goes well for you. Let us know how you are