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Quote
MarkL
A more procedural question regarding ablation. During my EP visit last week when it was agreed we would proceed with the procedure, I forgot to ask two questions, so I asked via the patient portal, set up for non-emergency messaging with physicians in the Medical School related practice.
The questions and his response are below. I understand he is the physician and I am not a physician. I like and trust him as much as is possible at this point. He’s been doing it for many years and performs @ 250 per year. I’m certainly not an imaging expert either however, I was a little surprised/disappointed that a University Med school of the size we have here does not use what I assumed to be the latest imaging technology for an ablation. Or maybe they do and I simply don’t understand all the nomenclature. Any cause for concern? Would appreciate anyone’s feedback on the response. As always, thanks.
My Questions...............
1. I assume you use 3D imaging during the mapping process. Is this correct?
2. I have paroxysmal Afib. How do you know what tissue to scar if I am not actually in Afib at the time of the procedure?
EP Response.....................
We obtain CT of the heart before all AFib procedures unless kidney function is compromised. We also use ultrasound during the procedure to visualize the anatomy. We will perform the procedure in normal rhythm most of the time and get a better assessment of scar burden that way.