However, not all surgeries are that complex. In some instances, it may be necessary to spread the person’s ribs and put their heart on a heart-lung bypass machine. In this procedure, surgeons cut the inside of the heart to create scar tissue in order to restore balance to the heart’s electrical system. Surgical ablation requires general anesthesia. In the course of the surgery, the surgeon will make small incisions on the side of the chest, and the electrophysiologist will perform the catheter ablation. This approach involves two procedures, which can be spaced out or take place during one hospital stay. There, pulses of energy will destroy the abnormal cells in an area measuring around one-fifth of an inch. The surgeon will insert a catheter, typically through a cleansed and shaved groin, and guide it to the heart. A person will remain conscious throughout the procedure, but they will receive intravenous medication to cause drowsiness. Usually, catheter ablation lasts between 2 and 4 hours and takes place in a hospital or designated lab. People whose arrhythmias could lead to life threatening complications, such as a heart attack, are also likely to be candidates for cardiac ablation surgery.Ī person’s experience of surgery will vary greatly depending on the type of ablation. People with A-fib that does not respond to medication often pursue cardiac ablation surgery. This increases the risk of a stroke and heart failure and can lead to an enlarged heart. A-fibĪ-fib is a condition that causes irregular heartbeats in the upper chambers of the heart. Atrial flutterĪtrial flutter is when the upper chambers of the heart beat very quickly due to faulty electrical signaling in the heart, often resulting from other heart problems, such as coronary heart disease and high blood pressure. The electrical signal comes from the upper chambers of the heart. It is a condition where the heart suddenly starts beating much faster than its normal resting rate of 60–100 beats per minute. SVT is the most common reason for cardiac ablation surgery. These include: Supraventricular tachycardia (SVT) Surgeons generally use cardiac ablation to treat a range of conditions. Hybrid surgical-catheter ablation combines catheter ablation, which treats the inside of the heart, with the mini-maze procedure, which treats the outer layer of the heart. Some individuals undergo a minimally invasive Cox –maze procedure, often called a mini-maze, which employs smaller incisions to reduce a person’s risk of complications. This causes scar tissue to form, which blocks the electrical signals that cause A-fib. The maze procedure involves making small cuts in the upper chambers of the heart, called the atria. It is a form of open-heart surgery often performed while a person is having a surgery for additional heart problems, such as a valve replacement or heart bypass. Surgical ablation, also known as maze surgery or Cox-maze procedure, aims to eliminate atrial fibrillation (A-fib). Healthcare institutions use different techniques to eliminate cells that cause arrythmias, including: In this approach, surgeons insert long, thin tubes called catheters into blood vessels to destroy the disruptive cells in the heart. There are several types of cardiac ablation. If this happens, the procedure may be repeated or you and your health care provider might consider other treatments.Share on Pinterest Image credit: BSIP/Getty Images Most people see improvements in their quality of life after this type of cardiac ablation, but there's a chance the atrial flutter may return. ResultsĪfter atrial flutter ablation, you'll need regular checkups to monitor your heart. Afterward, you'll be taken to a recovery area where care providers will closely monitor your condition.ĭepending on your condition, you may be allowed to go home the same day or you may spend a night in the hospital. The scarring helps block the electrical signals that are causing the atrial flutter.Ītrial flutter ablation typically takes two to three hours. Heat (radiofrequency energy) is applied to the target area, damaging the tissue and causing scarring. This information is used to determine the best place to apply the ablation treatment. Sensors on the tip of the catheter send electrical impulses and record the heart's electricity. The doctor inserts a long flexible tube (catheter) into the vein and carefully guides it into your heart. Once the sedative takes effect, a small area near a vein, usually in your groin, is numbed. You'll likely receive a medication to help you relax (sedative). What you can expectĪtrial flutter ablation is done in the hospital. Atrial flutter ablation may restore a typical heart rhythm, which may improve quality of life. Atrial flutter ablation is done to control the signs and symptoms associated with atrial flutter.
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