I have had PAF and Flutters now for over one year. I'm 71 years old and my Cardiologists have never recommended a CardioVersion or Ablation of any type here in the Toronto Canada region. The last time I met with my main Cardiologist he told me CardioVersion is next to useless and Ablations are not far from the same result unless you are willing to have at least 3-4 done.
Now, why is that? Is it age ? Is it that most people here in Canada are on medications or are my Cardiologists including my General Practionioner not doing the job. I honestly wonder what percentage of people on this forum have had these procedures done ( being mostly a British site) ?
In a quick search, I couldn't find much in the number of Ablations done other than these bits.
"Learning in the Past 9 Years
Over the past 9 years we learned that AF is a chronic progressive disease and not curable by catheter ablation. Although the development of efficient ablation catheters and sophisticated mapping systems has improved the outcome of AF ablation, the long-term recurrence rate is still close to 50%. Nonetheless, we were able to evaluate the present results because we performed consistent and steady rhythm monitoring based on the 2012 HRS/EHRA/ECAS Expert consensus statement guidelines."
"In his editorial, Calkins also stresses the importance of operator experience. He highlights a 2013 study showing that more than 80% of 93,801 ablations performed between 2000 and 2010 were done by operators doing less than 25 procedures per year. In that study, annual operator volume (less than 25 procedures) and hospital volume (less than 50 procedures) were significantly associated with adverse outcomes."
This following is dated;
"We identified 269,471 adults with AF. The rate of catheter ablation in AF patients increased from 0.06% in 1990 to 0.79% in 2005, (p<0.001 for trend). Compared to those not undergoing ablation, ablated patients were younger (mean age 66 vs. 76 years, p<0.001), more likely to be male"
1990 to 2005, in 15 years, it went up by about 3/4 of 1% !! By now, has it gone up to , say 10% ? Obviously not many people having Ablations, in my humble opinion.
Thank you in advance to all those who respond.