Aa
Afib/Cryoablation
I had an rf ablation June 8 for avnrt. 2 monitors afterwards, showed very short episodes of paroxsymal afib/flutter. I cannot tell the difference as far as symptoms are concerned. EP has me on 81mg aspirin and 50 mg metoprolol daily. I think I am opting for a cryoablation. EP says its better to do it now while Im relatively young and healthy so that in 10 years Im not in perm/chronic afib and on tons of meds. Can anyone share their experience with me? I am trying not to drive myself crazy again. EP says Id stay overnite for observation and be on a real blood thinner for 2 months....
Best Answer
Seems awful quick to go in for another ablation. I thought most eps want to give it 3-6 months to see if things settle down on their own. I'm not trying to talk you out of it if you have a lot of afib episodes but just wonder if with time and a chance for your heart to heal if they afib would go away but I am not an expert in this so go by what feels right to you. I know people can have a lone episode induced by certain things but maybe in your case it is the kind that would keep progressing. Best of luck with it.
Your EP is right about catching AF early instead of letting it progress towards persistent and chronic. Like all other ablation procedures, you want to use someone that does a high volume of AF procedures. RF requires more skill and experience than cryoablation but cryo has a higher rate of recurrence around 25% because PV reconnection. The catheter doesn't turn well especially for the right inferior PV. So I suggest going to a center that do a high volume of AF with both RF and cryoballoon and let the EP choose his tool of choice with a chance that a second procedure with RF may be required if cryo procedure doesn't last. Also check out the LAF forum for suggestions.
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Thank you.
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