Re: Failed catheter ablation

Posted By Tony Osborne on July 19, 1999 at 09:33:03
Hi there
I have just had a catheter ablation to rectify WPW (dominant R-wave in V1, indicating left sided accessory pathway conducting antero-gradely). The doctor accessed my left atrium to try and ablate but was unable to access the exact point for ablation which was very frustarting for him (and me as he tried for 3+ hours).
I would like to try again. The suggestion this time is to enter the the right atrium and go through the heart wall.
From your experience would you consider this the best option available to me.
Also if this ablation were to fail what further treatment would be available other than beta blocker drugs?
Many thanks for your response.
Tony

[CCF CARDIO MD DLB]

Posted By CCF CARDIO MD - DLB on July 19, 1999 at 12:21:14
Dear Tony
It is sometimes necessary to access the left-sided heart structures by going through the right atrium. This is a reasonable approach for performing an ablation. Catheter ablations are usually successful in WPW. If not, medications will need to be used. The other option would be to have an open-heart surgical procedure to ablate the pathway.
I hope this has been useful. I wish you the best of luck. Feel free to write back.
Information provided here is for general purposes only. Specific questions should be addressed to your own doctor. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.

[Tony-Osborne]

Posted By Tony Osborne on July 22, 1999 at 11:30:06
Thanks for your reply.
Since my ablation I have had alot of tachycardia "attacks". My heart jumps from 70ish to 230ish. Will the increase in the number of attacks be a result of the ablation eg bruising to the heart or due to being slightly run down following the procedure?
;o)











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