Cardiac Ablation Procedures
Ablation creates small scars in the heart to block abnormal electrical signals, stopping irregular rhythms.
The Procedure Timeline
Duration: 4 hours or more | Team: Cardiologists, nurses, and technicians.
- Preparation: You receive a sedative to relax. The skin (neck, arm, or groin) is numbed.
- Insertion: A catheter (flexible tube) is inserted into a blood vessel and guided to the heart using live X-ray images.
- Mapping: Electrodes find the exact spot causing the rhythm problem.
- Ablation: Energy (heat or cold) is sent to that spot to create a scar and stop the irregular signal.
What you might feel during the procedure:
- A brief burning sensation when medicines are injected.
- A faster or stronger heartbeat.
- Lightheadedness.
- Burning when the electrical energy is applied.
Preparation & Recovery
Before the Procedure
- Meds: Tell your doctor about all medicines, especially blood thinners.
- Illness: Report colds, flu, or fever immediately.
- Fasting: No food or drink after midnight.
- Smoking: Stop smoking before the procedure.
After the Procedure
- Immediate: You must lie flat for 1–6 hours to prevent bleeding.
- Going Home: You need a driver. You might stay overnight or go home the same day.
- First 2-3 Days: Fatigue, chest aches, or skipped heartbeats are common.
Why is it performed?
Ablation treats rhythm problems that medication cannot control, such as:
- Atrial fibrillation / Atrial flutter
- Ventricular tachycardia
- AV nodal reentrant tachycardia (AVNRT)
- Wolff-Parkinson-White syndrome
Risks
While generally safe, rare risks include:
- Bleeding / Blood clots
- Damage to arteries or valves
- Heart attack
- Fluid around the heart
- Nerve damage