So. 37 M. Paroxysmal Afib with rvr. I have HCM and a family history of HCM thus have an ICD.
Afib has gotten progressively more frequent last few years. Last year I had 5 cardioversions with the last one failing. Scheduled a emergency abalation at the local hospital but i converted chemically with amiordrone.
Few months later i see my EP. He drops the bomb instead of traditional RF ablation I should get a "Convergent" hybrid abalation.
Instead of 2 days at the hospital, its going to be 4. I'll need general anthesia instead of conscious sedation and theres more risk involved due to cutting thru my stomach into my heart from a 1inch incision. This approach includes needing a chest drain tube for 2 to 3 days as well..
Due my HCM (IHSS) and what he said the stiffining of my heart. The hybrid approach has a 70% of success and freeing me afib compared to the 40% of a single traditional RF abalation.
I'm scared to death. The thought of RF abalation was already a terrible thought but now they want to litterally cut into my heart.
Anyone had this done? Is this a drastic first approach to abalation? I'm on my max solotal dosage. When im in sinus Im perfectly healthy. That said. My Afib with RVR is completely unbearable when it does happen. The hospital and EPs, Thorasic Surgeon Im seeing are located at Emory Hospital in Atlanta Georgia.
I just need some insight. I have to trust my EP right? He knows more than I do, right? He wouldn't suggest this if he didnt think it was the best approach, right? Basically two abalations at once eith the intent of not needing a second separate proceedure..