After 2 ablations - AV Node or RF Line by Line

[dmac4646]

I have had 2 cryoablations over last year first one improved things massively , second on did not in fact possible lost some of the gains - when they did the second they found that not coming from veins - tried ablating between them but not successful. EP says happy to do an RF line by line ablation to try and fix this or go straight to AV node ablation - has anyone else been faced with this choice ?

[OceanPaddler]

what is an RF Lindby line ablation, please?

[CDreamer in reply to OceanPaddler]

Radio Frequency

[BobD Volunteer]

A pacemaker and AV node ablation is serious non reversible treatment and rather a last resort one so personally I would look into the RF ablation first.

Cryo ablation works very well when the signals are coming from the four pulmonary viens but by the very nature of the balloon system can't ablate other areas for which the RF can be used.

[dmac4646 in reply to BobD]

Thanks Bob , I must admit that is my inclination, but have seen a few EP's saying go to AV node if 2 Ablations are successful - I am assuming that by going with RF if that indeed does not yleld a good result the AV node option is still available....

[BobD Volunteer in reply to dmac4646]

Agreed in my view.

[mjames1 in reply to dmac4646]

but have seen a few EP's saying go to AV node if 2 Ablations are('nt) successful -

That's not a common progression at all. Unless there are special circumstances. AV node ablation shouldn't even be in the discussion at this point.

It's also a bit confusing why they didn't use rf during the second ablation when they found that your afib was coming outside of the pulmonary veins. A good EP should be prepared to use rf during any ablation procedure, including Cryo.

There could be good reasons for all of this, but if you have any doubts a second opinion at a high volume ablation center like Royal Papworth or Barts (Professor Richard Schilling) might be a good idea.

A number of members have found that getting second opinions is a lot faster and easier by paying for the initial consultation. After that, if you decide to go ahead with them for an ablation, they can put you on their NHS list.

Jim

[OceanPaddler in reply to BobD]

I have had 1 cyroablation PVI which worked. I had a RF flutter ablation and PVI was checked and had worked. My parox AF not coming from there. AF burden 2-3% on Sotalol. They said unable to do crisps criss ablation on L atria because of risk of Creating LA flutter. Pace and ablate been recommended. Is this usual for AF burden I have?

[mjames1 in reply to OceanPaddler]

Not usual in my opinion at all, but none of us here are qualified to make that determination. See my previous post in this thread about getting a second opinion.

Jim

[OceanPaddler in reply to mjames1]

Thank you.

[MaryCa in reply to OceanPaddler]

I had criss cross ablation top of left atria. He did say after the fact that if he did too much it could trigger other arythmias. In the first month post ablation (wasmy second btws) I had tachycardia, bigeminy and trigeminy and just weird stuff. It generally has settled now and back to walking 3-4 miles a day. So far so good.

[OceanPaddler in reply to MaryCa]

Helpful to know this. Thank you for sharing this.

[reinaway]

AV node ablation has been my saviour but of course everyone reacts differently and it is an end resort. Took me a while to make the decision but glad I did in the end.

[lovetogarden]

It took 3 ablations, final one by a different EP than the first 2, to banish my afib. Going to n AV node procedure seems like a pretty drastic step at this point.

[JOY2THEWORLD49]

Hi

My Private H/Specisalist through another person who asked about it said NO sand described it as having thr 5th gear away.

It will not allow any electrics pass from any top chamber to bottom.

That sounds scary.

cherio JOY. 75 (NZ)