AV node abalation

[heratfr]

Hi,

During my recent abalation procedure for atrial flutter AV node was abalated by mistake. EP says it could recover in 4-6 weeks. Has anyone seen such a recovery?

Thanks,
hsc

[Gary3201]

Oh believe me I agree whole heartedly there are so many things that can go array in any procedure. Its scary going out not even knowing if you'll wake up let alone the many possible errors that can take place or complications that come up. We all hope for the best and trust the individuals and professionals we have researched and hired. I feel for all of those that have had successes as well as those who have encountered problems knowing that they are all possible. Have to have some faith in the Big Guy upstairs as well

be well
gary

[PikaPika88]

Hi Gary,

What do you do, when you wake up, they tell you they're accidently damaged your AV-node?  I think you've been told many possibilities can happen during ablation.  Always a good words and nice success rate presented before the ablation...........I hope your EP can be trusted.  Take care.

[Gary3201]

I had a cardiologist recommend to me that he thought an AV Node ablation would be the best thing for me. I listened to him and then did my own research since I am only 57 years old
1) The ablating of the AV node does not stop AFIB it still occurs but you don't feel it as much.
2) Its final there is no going back once you ablate the node you are locked into a pacemaker forever And you can't utilize any future break throughs in treating AFIB
3) Since it doesn't stop AFIB the heart is still being damaged and weakened as time goes on.

Those are just the top three that will always steer me away for messing around ablating the node. Perhaps if I was a minimum of 70-75 then I would consider it but until then there are too many other options to consider in my opinion.
Like I mentioned I go in on the 14th for my 3rd ablation at which time we will relook and both the left and the right atrium completely. The left atrium is where AFIB usually resides and the right is usually where AFlutter or A Tach originates from so I have 2 EP guys that are going to do it together to see if they can figure it out once and for all.

Be well and keep the faith
gary

[heratfr]

Gary,

Thanks for your reply

From what I hear chances of AV Node recovery is very less. Doctors advise keeping pacemaker as backup even if AV Node recovers.

You mean arrythmias don't mean anything if we have a pacemaker?

Thanks

[Gary3201]

A pacemaker does not stop arrhythmias They keep the heart at a certain rate You may continue to have the sensations of arrhythmia but the heart will be maintain at a constant rate so you don't have the elevated HR as normally experienced with AFIB. What was the reason for the implant? Is it just a temporary thing until the AV node bounces back?

best of luck
gary
due for my 3rd ablation on 12/14

[heratfr]

Yes, It was a nick rather than a deliberate abalation. I have pacemaker now with pulse rate around 90's. I have also have arythmias recorded in my pacemaker which were of 12 sec duration. Is that a concern?

Thanks,
heraftr

[PikaPika88]

Dr always like to comfort their patients.  My cardio told me if my anemia corrected, my fatty liver will go away.  (Verapamil caused my fatty liver.)  No other doctors agreed what he said.  They said, "don't know why he would say like that?"

For AV node ablation recovering...... Yes, I know it is partially though but not completely.  I saw both threads were in medhelp forum.  They're not happened in a few weeks after the ablation.  They both happened after few years or may be over 10 years though.  Both of them were purposely wanted fully ablated.  Not an accident ablated... so I believed the accident ablated can have a good chance of recovery.  Has your EP implanted a pacemaker for you yet?  Take care and good luck.

[Gary3201]

Was it a RF or a cryo ablation? If it was RF I don't understand how it will recover. and if you AV Node was ablated you would have to have had a pacemaker implanted. Are you sure you heard him right? What you usually consider when talking an AV node ablation is if the node is in fact ablated the the atriums and ventricles are now separated and have to be controlled via a pacemaker Perhaps ireneo was right an they just nicked it and did not really  ablate it. Ablated tissue to my knowledge does not rejuvenate the tissue has been burned to prevent further conduction.
I hope you either heard him wrong or that it was just nicked
Best of luck
gary

[ireneo]

Never heard of an AV node recovering. Usually when done deliberately, a pacemaker is installed. Perhaps they just got a bit too close and stunned it. That happens with ablations some times, an area is just bruised, not fully ablated and the arrhythmia will come back. Only your EP knows for sure how much damage was done.

How are you feeling now? Sluggish? How's the heart rate?