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Pulse field abation

BeeBee79 profile image
9 Replies

Hi,

Sorry if this has been asked before but just wondering about those who have had pulse field ablation. How did you feel afterwards? Recovery time? And most importantly, did it work?

Last question, if it did won’t - how was your AF before it? I’ve had one failed cardioversion, 4 failed ablations and was facing open heart surgery…..

Many thanks,

Bee

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9 Replies
BobD profile image
BobDVolunteer

Since nobody else has answered and I've been out all day, the current inteligence on Pulse field is that results are on a par with other methods of aalation but recovery is slightly easier.

BeeBee79 profile image
BeeBee79 in reply toBobD

Thank you 🙏

Franky999 profile image
Franky999

My experience was good.PAF during hard cycling for decades that self terminated but becoming more frequent and longer last year finally resulting in a 5 day episode which led to a GP visit.

I was prescribed Bipropolol and Adoxaban but still in and out of afib now with tiredness/breathlessness on exertions which I never had before the meds.

Had a private cosultation and paid for a PFA ablation two weeks later.

The op, under GA, took an hour, in at 8:45 and back in my room at 9:45 and felt fine. I made sure to drink plenty of water and was given a sandwich. My groin stitch was removed after a few hours then discharged at 12:30 and took the bus and train home with my wife - so a quick turnaround.

Pre op I was in afib with 116 hr, post op I was in sinus with 85 hr which dropped to 54 hr during the day.

I had an episode of afib 4 days later which was terminated by increasing my post op dosage of flecainide & bisoprolol which was maintained for 4 weeks then reducing to my lower post op dosage.

Afib returned a few times after stopping the meds, so last time I did a long taper of two weeks at each reduction of flecainide and bisoprolol down to a very low level and now good so far.

As mentioned my exercises resumed after one week and am back to cycling, rowing and weight training with no problems.

ainslie profile image
ainslie in reply toFranky999

Could I ask you about the timeline since your op, ie how long after the op were you still having issues and how long now have you been issue free.

Congratulations 👍

Franky999 profile image
Franky999 in reply toainslie

My time line

25 Jan - ablation

29 Jan - afib, increased meds

06 Mar - reduced meds to post op level

27 Apr - stopped meds

29 Apr - afib, restarted meds

07 May - stopped meds after taper down

10 May - afib, restarted meds

15 Jun - stopped meds after long taper down to very low levels 12.5 flec + 0.6 bisop

Afib terminated in a few hours each time.

Ok now

BeeBee79 profile image
BeeBee79 in reply toFranky999

Fantastic! Feeling very hopeful reading this 🙏

ainslie profile image
ainslie in reply toBeeBee79

Thanks Franky that’s very helpful

nicenurse profile image
nicenurse

Pulsed field ablation certainly sounds like a better option than cyroo or thermal ablation, but I ran across this blog post last week that gave me pause:

sensible-med.com/p/brain-sa...

I think the most important factor is the experience of the provider you choose to use. I've read that with any new procedure, which pulsed field is, a provider needs to perform it about 150 times to become familiar and proficient with it.

BeeBee79 profile image
BeeBee79 in reply tonicenurse

My doc has only done it 4 times but with other experts who will be around him

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