Vein A Marshall

[SwayzeCrazy7777]

I have had 3 unsuccessful ablations and will be having a VOM on March 5th. My Afib is considered to be serious because of recent stroke with it… Has anyone had this procedure and if so what should I expect.. Thanks so much in advance

[Rambler398]

Hi SwayzeCrazy7777

Can you explain what a VOM is please?

[SwayzeCrazy7777_ in reply to Rambler398]

Yes.. From my understanding it is a Ethonal Infusion that is done thru the neck where they will go into the heart and insert a balloon and inject the alcohol to try and resume my sinus rhythm..

My pacemaker is set to have resting rate at 60 and I rest at 90 that will go into high 150’s so of course I am at high risk of another stroke..

I have searched the internet for exactly how the procedure is done but have been unable to find much on it..

I am scheduled for the VOM on Tuesday, March 5th and I pray this will be my permanent resolution otherwise our only other option is open heart..

Thank you.

[CDreamer]

There have been a few posts about VOM ablations - try putting into the search box and hopefully they will come up.

[SwayzeCrazy7777_ in reply to CDreamer]

Thank you so much

[CDreamer]

I found this thread which you may find informative. healthunlocked.com/afassoci...

[cuore]

I had ethanol infusion of the vein of Marshall back in November 2017 in Bordeaux, France. At the time, the operators there had been doing the procedure for only four months.

In my case, I had peri-mitral atrial flutter which is in the left atrium. Since the rogue signals are very close to the mitral valve, the area is very difficult to ablate which is the reason for the alcohol infusion.

To my knowledge, I have NOT had a reoccurance of this peri-mitral atrial flutter. I did have a third ablation ablation for atrial flutter in the right atrium and for AF re-ocurrance for reconnection.

I should expect that your procedure will be successful and that you will not have a re-ocurrance, at least, I didn't.

[SwayzeCrazy7777_ in reply to cuore]

Thank you so much CDreamer.. I really appreciate you sharing this with me..

[SwayzeCrazy7777_ in reply to cuore]

Thank you so much.. I have a good feeling and pray this one works..

My team of cardiologist also believe I will have 100% success with this..

[SwayzeCrazy7777_ in reply to cuore]

I wanted to update you on my VOM that I had yesterday.. Unfortunately the had to abort it because my pulmonary vein is so small they were unable to balloon it safely..

Since I have had 3 failed ablations.. We will now proceeded with a AV Node Ablation.. I will be meeting with my team of cardiologists and will find out when we will do this..

I am currently unsure how this will take place and exactly how they do it.. I would greatly appreciate your wealth of knowledge on how this takes place.. Afe

I was going to check and see if you knew anything about this.. You wealth of knowledge is greatly appreciated..

[cuore in reply to SwayzeCrazy7777_]

I have not had an AV Node Ablation, but it is mostly done when inserting a pacemaker, although some ( such as CDreamer) get along well with a pacemaker without having a AV Node ablation.

You do say you had a pacemaker inserted in 2019, so, I guess they did not ablate the AV node at that time. If they do ablate it, you will be totally dependent on the pacemaker.

To my knowledge, having a pacemaker does not stop the AF; it control the rate of the heart to which the pacemaker has been set. So is your pacemaker not set properly or is it something else that you get wiped out and dizzy?

I would suggest you goggle AV Node ablation where you will find a much better explanation than that which I could do and in limited writing space. Find a site that has diagrams so that you can follow the explanation better. Definitely locate where the AV node is in the diagram, plus learn its function -- all before you meet with the cardiology team.

I had a ethanol infusion of the Vein of Marshall for peri-mitral flutter. This ablation is not located around a pulmonary vein; it is around the mitral valve which is difficult to ablate around (that's how I understand it). I do not have knowledge of ethanol infusion being used around a pulmonary vein, and I think you may have registered some of the information incorrectly.

I would ask your team the location of this ethanol infusion that they were going to do. I would ask how ablating the AV Node is going to further help you since you already have a pacemaker inserted. I would ask if you also have atrial flutter. Would a Wolf mini maze be better (He's in the States if your insurance covers it)? I am not up-to-date on how advanced the Pulsed Field ablation is in terms of location (by that I mean how far beyond the pulmonary veins can Pulsed Field ablation be operable). I would ask what is causing this "completely wiped out and dizzy upon standing."

You say you have a great team, but it might be fruitful t get an evaluation somewhere else.

Good luck to you, and let me know how you get along.

[SwayzeCrazy7777_ in reply to cuore]

Thank you so much for your Wealth Of Knowledge..

You have provided me with many things to discuss with my Cardiologist/EP.. I do know that my Pacemaker was not ablated by the first EP that is one reason I am currently with my second opinion.. The reason of feeling faint and dizzy upon standing is blood pressure dropping.. The medication I am on can cause this.. I am continuing to do the research on all of this before I met with them..

Thanks again so much for your wealth of Knowledge..

[MarkS]

I had the vein of marshall ablated as part of my combined cryo and RF ablation in 2009. Obviously RF was used for the VOM. Having ablated the PV's, I still had AF, but ablating the VOM fixed my AF until recently when I developed permanent asymptomatic AF. Hopefully yours will last a long time as well.

[SwayzeCrazy7777_ in reply to MarkS]

Thank you so much MarkS.. Did they go thru your neck for the VOM. I am 56 and got a pacemaker and a Watchman in 2019, after 3 ablations and having to be cardioverted 6 times I am still in Afib..My Afib is on the outside of my heart..I have had a stroke since the watchman.. Thank the Lord I did not have any residual effects from the stroke..

I m currently on 2 Beta Blockers and Eliquis twice a day.. I have the utmost confidence in my Cardiology Team..I am just praying this works or I will have to have open heart..

I have the VOM on Tuesday, March 5th.. We will have exhausted all options if unsuccessful..,

Thanks so so much for your response..

[MarkS in reply to SwayzeCrazy7777_]

Hi, they went through a vein in my groin. I'm in slow AF now, it doesn't really affect me at all. I can still do 4 quite hard exercise classes a week. I'm on warfarin. Are you wiped out by the AF or could you get by?

[SwayzeCrazy7777_]

They told me their would be thru my neck but really not sure…unfortunately I am completely wiped out and dizzy upon standing.. My cardiologist have told me it’s a pretty complicated case..

I am just so ready to feel better.. Since 2020 I have been really limited in what I can and can’t do.. I am in pretty good shape and don’t have a problem with weight it’s just hard. Sounds like you have/are going thru about the same thing..