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Old 02-01-2013   #10
HoustonFrog
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Default Re: Arian Foster likely to undergo heart procedure

Quote:
Originally Posted by CloakNNNdagger View Post
Frog,

We've talked about your perforation in the past. It is a scarey and terrible thing to go through and can definitely be life-threatening. That is why it is prudent to only do it in a hospital setting, where in the unlikely event that the chest must be quickly opened, it can be done so to save the patient's life. It is a real potential complication seen with ablation. I don't know if it was an "excuse" or not. However, any patient movement during the procedure and the catheter tip can easily be displaced to burn the wrong area or to burn too deeply (through the heart wall-perforation). That is why general anesthesia is specifically recommended for atrial fibrillation, where the heart is already itself moving in irregular and unpredictable fashion, without patient movement. The complication rate for ablation seems to be consistently somewhat higher for atrial fibrillation than for other arrhythmias.
I'd be curious concerning how many robotic ablation procedures your cardiologist or surgeon had performed before yours, as there is a steep "learning curve" to the use of the robot. Some surgeons have a great reputation with traditional tactile surgery, but have a difficult time transitioning that expertise to the robot, especially near the beginning.

Ablation, no doubt, carries significant risks although in small number of cases. However, as you have found out, you might not care that the risk is 1 in 1000....if you are that one. That is why the procedure must be justified by significant supportive indications.
Right. I actually went in expecting it by hand and not the robot. From what I learned later I believe he was still a little raw with the robot arm. The specialist I saw in a follow up said the curve is steep and explained that he had done many to get good but had some issues...not perforations. He also said he would have put me completely under and that he used a temperature gauge in the throat because there is a minor chance that the burning could affect the esophagus that's letting bacteria in. It still bugs me to this day because the afib is more frequent now...every few months vs yearly...and the scar tissue, etc affected my stomach some. Plus they couldn't get a wire out of my skin and it pokes around some. Lucky surgeon who saved me was top notch. I know all if this us extremely rare but I kind if laugh about "minor" in reports. Thanks CnD. Hope all is well.
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