Jeff Patten’s A-Fib started briefly in 2000, then returned in 2010 when his father-in-law died. The emotional upset, high summer heat, stress and accumulated age, followed closely by a bout with appendicitis, put him back into A-Fib .
In 2012, came a successful CryoBalloon ablation. But Jeff’s post-ablation recovery on Pradaxa turned into “alimentary torture” and burning diarrhea. Later came a Right Atrium Catheter Ablation for PACs/PVCs. Learn how Jeff emerged in 2015 healthy and A-Fib free.
“They want to do an A-Flutter-only ablation on me. Will that help me? I definitely have A-Flutter and possibly A-Fib as well.”
Probably not. We now know that, in general, A-Flutter originates in the right Atrium, and Atrial Fibrillation originates in the Left Atrium.
Even though a right atrium Flutter ablation is relatively simple and easier to do compared to an A-Fib ablation in the left atrium, a right atrium Flutter ablation does little for A-Fib. If you have both A-Fib and A-Flutter, but have a Flutter-only ablation of the right atrium, it’s estimated the success rate for curing A-Fib is only between 5% and 10%.
You’re probably wasting your time and undergoing needless risk to do an A-Flutter-only ablation when you also have A-Fib. Some A-Flutter may originate in the left atrium, or the A-Flutter may mask A-Fib which may appear later after a successful A-Flutter ablation. As many as half of all patients ablated for A-Flutter may later develop A-Fib.
If someone wants to schedule you for a right atrium Flutter-only ablation and you also have or suspect you have A-Fib as well, you definitely need a second opinion. As long as you’ve gone to the trouble of scheduling a hospital procedure for A-Flutter and the EP will be inside your heart already, most EPs will want to do a left atrium A-Fib ablation at the same time as your Flutter ablation.
If you find any errors on this page, email us. Y Last updated: Monday, February 13, 2017