ra ablation for atrial flutter icd 10 pcs

Overview of catheter ablation of cardiac arrhythmias. In: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. In: Cardiac Electrophysiology: From Cell to Bedside. National Heart, Lung, and Blood Institute. In: Catheter Ablation of Cardiac Arrhythmias. Pulmonary vein isolation for atrial fibrillation. Pulmonary vein isolation has not been shown to reduce the risk of a stroke, so your health care provider may recommend starting or continuing blood-thinning medications. If this happens, the procedure may be repeated or you and your health care provider might consider other treatments. But there's a chance that the irregular heartbeat may return. Most people see improvements in their quality of life after cardiac ablation, including pulmonary vein isolation. You'll usually be able to return to your regular activities within a few days after having pulmonary vein isolation. You may feel a little sore after your procedure, but the soreness shouldn't last more than a week. Plan to have someone else drive you home after your procedure. A care provider continuously monitors your heartbeat and blood pressure to check for complications of the procedure.ĭepending on your condition, you may go home the same day or spend the night in the hospital. Pulmonary vein isolation usually takes three to six hours to complete, but may vary depending on the specific arrhythmia.Īfter pulmonary vein isolation, you'll likely be taken to a recovery area to rest quietly for a few hours. If you have severe pain or shortness of breath during pulmonary vein isolation, let your care provider know. There may be some minor discomfort when the catheter is moved into the heart and when energy is being delivered. Usually, each of the four pulmonary veins is treated during pulmonary vein isolation. Heat (radiofrequency energy) or extreme cold (cryoablation) is used to create small scars in the target area and block the irregular heart rhythms. The health care provider moves the catheters from the upper right chamber of the heart to the upper left chamber of the heart where the pulmonary veins connect. This part of the procedure is called an electrophysiology (EP) study. The health care provider uses this information to identify the area that is causing an arrhythmia and to decide where to apply the ablation. Sensors on the tip of the catheter send electrical impulses and record the heart's electricity. The catheters may be inserted through a blood vessel in the groin (most common), shoulder or neck (less common).ĭepending on the type of ablation, the health care provider may inject dye (contrast) through the catheter, which helps blood vessels show up more clearly on X-ray images. The health care provider inserts long, flexible tubes (catheters) through a blood vessel into the heart. Catheters may be inserted in the groin, shoulder or neck. DuringĬatheter insertion points for cardiac ablationĭuring cardiac ablation, catheters are passed through a vein in order to reach the heart.

You may be fully awake or lightly sedated, or you may be given general anesthesia (fully asleep).

The amount of sedation needed for the procedure depends on the specific arrhythmia and other health conditions. Pulmonary vein isolation is done in the hospital.

Your care provider will tell you how or if you should continue any medications before a cardiac ablation. You'll likely need to stop eating and drinking the night before your procedure. Your health care provider may order several tests to get more information about your heart health before your cardiac ablation. Injury or ulceration of the swallowing tube (esophagus), which runs behind the heartĭiscuss the risks and benefits of cardiac ablation with your health care provider to understand if this procedure is right for you.Narrowing of the veins that carry blood between the lungs and heart (pulmonary vein stenosis).Blood clots in the legs or lungs (venous thromboembolism).Slow heart rate that could require a pacemaker to correct.New or worsening heart rhythm problems (arrhythmias).Bleeding or infection at the site where the catheter was inserted.Possible risks of pulmonary vein isolation include:

Ra ablation for atrial flutter icd 10 pcs