using one or both groins for ablation? - Atrial Fibrillati...

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using one or both groins for ablation?

Lenlec profile image
20 Replies

for my 1st cryo ablation last year they went in thru my right groin only.

the other day my ep put me on the list for a 2nd Rf ablation in which he said we usually go into both groins.

Anyone tell me why you’d use 2 groins as opposed to one ?

thanks all

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Lenlec profile image
Lenlec
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20 Replies
Jalia profile image
Jalia

I don't know why exactly! I just assumed it gave the EP more scope ??! My last 2 ablations ..RF...used both groins ( 2013 & 2021)

Lenlec profile image
Lenlec in reply toJalia

Cheers. Scope for what ?

BobD profile image
BobDVolunteer

Only ever had right groin in all four of mine

Lenlec profile image
Lenlec in reply toBobD

maybe should of asked the ep why they would go in both sides

BobD profile image
BobDVolunteer in reply toLenlec

It is only very recently I read reports here of people having both groins used. I can't understand the reason as you only need to get one catheter into the heart at once. All veins lead the the right atrium from whence the septum is punctured to move across into the left atrium for isolating the four pulmonary veins. If I get a chance to speak to any of my EP contacts I may ask if this is a new method but you might also like to ask your own. .

Jalia profile image
Jalia in reply toBobD

I had access from both groins in 2013 as well as 2021 so h as been used for a while.

Maybe when the ablation is to involve more than the isolation of PVs then he has the choice of using either to avoid unnecessary pressure (?) on one side ( spreading the load ) when the procedure is expected to be lengthy?

Just a thought ...probably completely wrong and too simplistic!

riffjack846 profile image
riffjack846

Right side here. No idea about both sides.

Elli86 profile image
Elli86

They had to use both groins for me. Apparently sometimes they have trouble getting all probes down same vein so they use both.

I’ve had nothing but problems since my ablation 15 months ago though so maybe I just had a useless EP.

Jalia profile image
Jalia in reply toElli86

Now that sounds more likely...the reason for both groins that is!

Sorry to hear that you've had so many problems since your ablation which was just a few weeks after my last one. I have been really well AF wise until Sat night when it all came back with a vengeance 😬.....had 2 nights in CCU and electrically cardioverted early Wed morning. It was good while it lasted 😔 ( this was dccv no 23!)

Lilypocket profile image
Lilypocket in reply toJalia

Hi JaliaAre you back in NSR after your cardioversion? 23 cardioversions!! That deserves a 🏅

Take care x

Jalia profile image
Jalia in reply toLilypocket

Pleased to say I went back into NSR on Wed morning and discharged in the afternoon! All good.

They always work for me but for varying amounts of time. In the early days I have gone 3/5 years but latterly 6/ 12 months between episodes. Unfortunately mine are persistent so very rarely stop without electrical intervention.

PS....I don't know about a medal, possibly a crown of plug sockets 🙄

Lilypocket profile image
Lilypocket in reply toJalia

⚡🤣

dedeottie profile image
dedeottie in reply toJalia

I think this is likely. This time I had a second ablation only 6 weeks after a cryo ablation and they used both ground. 2 leads in one side initially and then s third in the other. I am sure this was because the entry sites from the first were not fully healed/ intact?

Lenlec profile image
Lenlec in reply toElli86

sorry to hear your problems. I hope this 2nd ablation does the job. The professor i sww said a 2nd ablation can have around 80 % success rate

Elli86 profile image
Elli86 in reply toLenlec

I’m not having a second. The first one did enough damage on its own

Griffin9 profile image
Griffin9

I had both when I had my ablation. The left side was only a tiny cut which healed quickly. The left was a larger incision which took longer to heal and had the lump behind it.

wilsond profile image
wilsond

My god daughter had two groin entry wounds,one on each leg last month.I was surprised and wondered if it was her age (12) or if because it was for SVT arrthymia type.

Sorry cant help as to why!

Adalaide2020 profile image
Adalaide2020

I've just had my 4th ablation and they used both sides. Only used the right side before. No idea why and I never saw my EP before or after to ask why, what or how. I was too tired to ask the nurse.I'm a week post procedure and the wounds have healed just fine with minimal bruising. But honestly he could have gone in from my little toe for all I cared as long as it works 😁.

Sorry I cant give you a definite answer.

DawnTX profile image
DawnTX in reply toAdalaide2020

lol I agree with you who cares where they go as long as they fix us. I have just a tiny not even a scar but a piece of skin where they went through the side of my neck. Not sure if they are using it yet over there but here in the states they are actually closing our loans with a new closing item instead of putting weight etc. on it it is something that inserts and eventually goes away inside the wound to lessen bleeding. I think it is called vasculate or something like that. I just had the brochure bouncing around and now I can’t find it. You feel a little bump where it is in the beginning lol make sure your nurse knows what it is so she doesn’t think you have a hematoma like mine did lol. I had three people including the assisting surgeon think it was a hematoma and tried to get rid of it lol I told my surgeon he should let his people know about it before hand we had a laugh about them trying to fix something that wasn’t there. At least they paid attention to unusual things. I think the drugs made it funny to me at the time lol

I am amazed at the things I take for granted now that they do to me. Are used to be shy but now whatever they want to do just do it and make me better. Most of my medical staff is always so caring they don’t realize I just don’t care anymore what they do again just make me better.

DawnTX profile image
DawnTX

I had a cryo-through the right and RF through the right my third went through my wrist, right groin and carotid. I don’t know if it’s different parts of the mapping or why they do it. The one with the three parts was my VOM behind my heart.

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