Re: Is someone in Chronic A-Fib a good candidate for a PVA?

[Guest guest]

> Dear Everyone,

> Can I ask your help and advice again? In the " Frequently Asked

> Questions

The question that came to mind as I read the answer is what is the

different procedure used for people in chronic afib.

Also, do centers really give precedence to people in paroxysmal afib?

[Guest guest]

Hi,

I share the Chronic Afib. I have no hard data on hand but remember

coming across info from different sources as to curing Chronic Afib.

To date it is the more difficult to cure and the success rate is much

lower than that of intermittent Afib. Currently different approaches

are being pursued in an effort to tackle permanent Afib and progress

is being made?? I discussed this at one point with my cardio who is

aware of the efforts. His recommendation for me was to wait for the

outcome until it is more perfected. He also said that permanent Afib

has a somewhat lower rate of clot formation.

/

[Guest guest]

Hi,

I share the Chronic Afib. I have no hard data on hand but remember

coming across info from different sources as to curing Chronic Afib.

To date it is the more difficult to cure and the success rate is much

lower than that of intermittent Afib. Currently different approaches

are being pursued in an effort to tackle permanent Afib and progress

is being made?? I discussed this at one point with my cardio who is

aware of the efforts. His recommendation for me was to wait for the

outcome until it is more perfected. He also said that permanent Afib

has a somewhat lower rate of clot formation.

/

[Guest guest]

In a message dated 11/18/2002 7:32:06 PM Pacific Standard Time,

madisonn99@... writes:

<< His recommendation for me was to wait for the

outcome until it is more perfected. He also said that permanent Afib

has a somewhat lower rate of clot formation.

>>

,

My brother's cardiologist also said that being in permanent afib is less

conducive to clot formation than being paroxysmal as I am. This was the

doctor's main rationale for not giving my brother Coumadin. He said that he

was sure that he had been in permanent afib for a very long time and was

quite stable. Since my brother had no history of clotting, his doctor felt

it was unlikely that problems would arise. So far this has proven true. My

brother doesn't worry about clots, therefore, and doesn't want to take

Coumadin. His hysterical sister (me), on the other hand, will probably want

to continue Coumadin for the rest of my life even if I stay in sinus for a

year or more because to me the ultimate horror would be a stroke. I know I

can live with afib because I've done it for nineteen years, but a stroke

would be unknown and unthinkable territory. Since you are in chronic afib,

you are safer in that respect than I am. When I was going in and out of afib

so frequently, part of me almost wanted to just stay in permanent afib

because at least the clot possibility wouldn't be so great. Also, my brother

in permanent afib, taking Digoxin and Atenolol, was having far fewer problems

than I was for the duration of my afib career.

Now that I've been in sinus for six months, my thinking is different,

however. If afib again becomes frequent, I would, like you, wait for the

breakthrough or perfection of current procedures.

in sinus in Seattle

[Guest guest]

Dear Trudy,

The article doesn't describe the procedure used for chronic A-Fib,

though it gives an illustration which I can't put in the E-mail. I'll

E-mail Dr. Jais to see if he can't give me a description and possibly

why it works. I'm also negotiating to put this whole article on

http://www.a-fib.com.

Good point about preference. I'll change it to, " ...most heart

centers have a long waiting list and have better success rates with

Paroxysmal A-Fib. "

A-FibFriendSteve

trudyjhagain wrote:

>

> > Dear Everyone,

> > Can I ask your help and advice again? In the " Frequently Asked

> > Questions

>

> The question that came to mind as I read the answer is what is the

> different procedure used for people in chronic afib.

>

> Also, do centers really give precedence to people in paroxysmal afib?

>

>

>

> Web Page - http://groups.yahoo.com/group/AFIBsupport

> FAQ -

> http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

> For more information: http://www.dialsolutions.com/af

> Unsubscribe: AFIBsupport-unsubscribe

> List owner: AFIBsupport-owner

> For help on how to use the group, including how to drive it via email,

> send a blank email to AFIBsupport-help

>

> Nothing in this message should be considered as medical advice, or

> should be acted upon without consultation with one's physician.

>

>

[Guest guest]

> > Dear Everyone,

> > Can I ask your help and advice again? In the " Frequently Asked

> > Questions

>

> The question that came to mind as I read the answer is what is the

> different procedure used for people in chronic afib.

>

Dear Trudy,

I made a mistake. The article describes it but doesn't give an

illustration. Here is what it says, " The procedure in this situation,

involves a combination of long linear lesions placed in the posterior

LA drawing an inferiorly incomplete (to avoid isolation) rectangle

bounded by the PV ostia. To prevent perimitral reentry the rectangle

is extended to the lateral mitral annulus at the level of the LIPV.

High power (50-60 W) is usually required to create a complete

connecting line anchored to the mitral annulus because of the

thickness of the atrial wall at this level. " Without an illustration I

don't know if I can translate this medical language to something the

average person can understand.

A-FibFriendSteve

[Guest guest]

> > Dear Everyone,

> > Can I ask your help and advice again? In the " Frequently Asked

> > Questions

>

> The question that came to mind as I read the answer is what is the

> different procedure used for people in chronic afib.

>

Dear Trudy,

I made a mistake. The article describes it but doesn't give an

illustration. Here is what it says, " The procedure in this situation,

involves a combination of long linear lesions placed in the posterior

LA drawing an inferiorly incomplete (to avoid isolation) rectangle

bounded by the PV ostia. To prevent perimitral reentry the rectangle

is extended to the lateral mitral annulus at the level of the LIPV.

High power (50-60 W) is usually required to create a complete

connecting line anchored to the mitral annulus because of the

thickness of the atrial wall at this level. " Without an illustration I

don't know if I can translate this medical language to something the

average person can understand.

A-FibFriendSteve

[Guest guest]

> > The question that came to mind as I read the answer is what is

the

> > different procedure used for people in chronic afib.

> >

> Dear Trudy,

> I made a mistake. The article describes it but doesn't give an

> illustration. Here is what it says, " The procedure in this

situation,

> involves a combination of long linear lesions placed in the

posterior

> LA drawing

Hi, Steve,

This sounds like a semi-maze done by ablation instead of by open

heart surgery...

[Guest guest]

Yes it seems very similar. The maze operation was the precursor and

stimulus for much of today's catheter based ablation procedures.

A-FibFriendSteve

trudyjhagain wrote:

>

> > > The question that came to mind as I read the answer is what is

> the

> > > different procedure used for people in chronic afib.

> > >

> > Dear Trudy,

> > I made a mistake. The article describes it but doesn't give an

> > illustration. Here is what it says, " The procedure in this

> situation,

> > involves a combination of long linear lesions placed in the

> posterior

> > LA drawing

>

> Hi, Steve,

>

> This sounds like a semi-maze done by ablation instead of by open

> heart surgery...

>

>

>

> Web Page - http://groups.yahoo.com/group/AFIBsupport

> FAQ -

> http://groups.yahoo.com/group/AFIBsupport/files/Administrative/faq.htm

> For more information: http://www.dialsolutions.com/af

> Unsubscribe: AFIBsupport-unsubscribe

> List owner: AFIBsupport-owner

> For help on how to use the group, including how to drive it via email,

> send a blank email to AFIBsupport-help

>

> Nothing in this message should be considered as medical advice, or

> should be acted upon without consultation with one's physician.

>

>