Pericarditis? December 15, 2023 03:50PM |
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Re: Pericarditis? December 15, 2023 04:18PM |
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Re: Pericarditis? December 15, 2023 05:44PM |
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Re: Pericarditis? December 16, 2023 11:42AM |
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Re: Pericarditis? December 16, 2023 12:25PM |
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mjamesone
Post procedural pericarditis is quite common according to my ep nurse and some ep's actually use an anti-inflammatory like Colchicine prophylactically. I was given a short course of Colchicine after my ablation and told to take it easy. I did see a study somewhere saying that those treated with Colchicine had slightly better ablation outcomes. This may have been irrespective of having pericarditis or not, can't remember.
Jim
Re: Pericarditis? December 16, 2023 01:39PM |
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Re: Pericarditis? December 16, 2023 04:18PM |
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mjamesone
Since you've used him, what is the story with the LAA isolation? Is this something he routinely does for touch up ablations? I ask because my understanding is that it would then require an LAA closure device like Watchman, something not sure I want now.
Re: Pericarditis? December 16, 2023 04:57PM |
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Re: Pericarditis? December 16, 2023 04:59PM |
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mjamesone
Since you've used him, what is the story with the LAA isolation? Is this something he routinely
does for touch up ablations? I ask because my understanding is that it would then require an LAA closure device like Watchman, something not sure I want now.
Re: Pericarditis? December 16, 2023 05:07PM |
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Re: Pericarditis? December 16, 2023 05:18PM |
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Re: Pericarditis? December 16, 2023 08:32PM |
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mjamesone
Thanks. Just to clarify, are you saying that after LAA isolation, either continuous anticoagulation or a Watchman is required 3/4 of the time -- regardless of your CHADS score, afib frequency, etc -- and simply because your LAA performance has deteriorated because of the isolation?
Jim
Re: Pericarditis? December 16, 2023 08:36PM |
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mjamesone
Thanks. Just to clarify, are you saying that after LAA isolation, either continuous anticoagulation or a Watchman is required 3/4 of the time -- regardless of your CHADS score, afib frequency, etc -- and simply because your LAA performance has deteriorated because of the isolation?
Jim
Re: Pericarditis? December 16, 2023 11:16PM |
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mjamesone
1. Do you have any idea how often mapping shows the LAA to be the source? Is it most of the time? 50-50? Infrequent?
2. Sort of the same question regarding the closure device? After isolation, about how often does the TEE suggest a closure device is needed?
3. In your case, where "you didn't make the grade" could you have just remained on full dose thinners versus getting the Watchman? I think you suggested you could have, but wanted to confirm.
Re: Pericarditis? December 17, 2023 11:51AM |
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Re: Pericarditis? December 17, 2023 12:14PM |
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Re: Pericarditis? December 17, 2023 12:18PM |
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Re: Pericarditis? December 17, 2023 01:27PM |
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mjamesone
Sorry, I didn't phrase #2 correctly.
What I meant to ask was after LAA isolation, how often does the follow up TEE suggest some sort of extra clot protection will be needed moving forward, be it thinners, Watchman, etc. Assuming a low CHADS score.
Jim
Re: Pericarditis? December 18, 2023 10:28PM |
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Re: Pericarditis? December 23, 2023 04:22PM |
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