If you have diabetes, ask your doctor if you should take insulin or other oral medications before your procedure.īlood-thinning medication usually need to be continued. It is important to continue your blood thinner or anticoagulation, uninterrupted for at least 4 weeks prior to the procedure. Ask your doctor about whether or not to take your usual morning medications. Take all your medications to the hospital with you in their original bottles. General guidelines include:ĭon't eat or drink anything after midnight before your procedure. Your health care team will give you specific instructions and talk to you about any medications you take. Injury to the groin blood vessel (1:200-400)Ĭomplication requiring emergency surgery (1:500-1000)ĭamage to structures around the heart (1:1000)Īlmost all Atrial Flutter ablations are elective or scheduled in advance, giving you time to prepare.Ītrial Flutter ablations are performed in the cardiac catheterization (cath) lab of a hospital. However, they are not zero and some can be serious. Serious risks associated with atrial flutter ablation are very rare. This is anticipated especially as blood thinners are usually continued. It is not uncommon to experience some minor bruising from the access site in the leg. Frequently, atrial flutter ablation is often included in an ablation procedure for atrial fibrillation. Your doctor will advise which medications are still required following the procedure. Importantly, blood thinners (if present) may not be ceased following ablation, as co-existing atrial fibrillation (or AF) is common. The added benefit is that medications aimed at slowing the heart rate down, known as rate controlling medications (such as beta blockers, digoxin, amiodarone etc.), may be reduced or in some cases ceased following ablation. Why is it done?Ītrial flutter ablation is usually performed to eliminate the symptoms (or palpitations) and deleterious effect on the heart of the atrial flutter. Typically, this ablation is performed along the floor of the right atrium (in an area known as the cavo-tricuspid isthmus), although occasionally, in patients having had previous surgery, ablation may be needed elsewhere. This effectively eliminates the atrial flutter. The procedure is aimed at disrupting this electrical circuit by the delivery of some heat energy (in the form or radiofrequency energy) to part of the circuit, so impulses can no longer travel around this circuit. A well-established treatment atrial flutter is catheter ablation.Ītrial flutter is caused by an abnormal electrical circuit that usually exists around the valve on the right side of the heart (the tricuspid valve). If this happens, the procedure may be repeated or you and your health care provider might consider other treatments.Atrial flutter is an electrical disturbance of the heart (or arrhythmia) which can result in fast heart rates, palpitations and occasionally reduce the heart function resulting in heart failure. 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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