Aliases:
Catheter ablation
SVT Ablation
AF Ablation

Topic aliases are alternate phrasings for a particular topic.


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Long and unstimulating procedure in a hazardous environment with potential for haemodynamic instability from induced arrhythmias & rarely pericardial tamponade

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Prepare all tubing and lines to prevent disconnection from movement of the C-arm of the image intensifier/Xray. #safety

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There may be a prolonged peroid of minimal stimulation whilst gaining access to heart. If the patient isn't paralysed when the TOE probe is inserted they may cough.
Consider giving another dose of muscle relaxant if none has been recently given.

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Duration 3-6 hrs refl.in/9n

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Intra-arterial blood pressure monitoring will be useful to monitor haemodynamic effects of induced arrhythmias in patients susceptable to the haemodynamic effects of those arrhythmias (eg adult or elderly patients).
The cardiologists will usually measure intraarterial pressure through their catheters in this case, but ask.

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Isoprenaline may be used, usually run by cardiologists. #ref

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TOE/TEE may be performed during the procedure if an atrial interseptal puncture needs to be performed and to look for atrial clots in patient with AF. An endotracheal tube will be more useful than a laryngeal mask or sedation

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Patient will need to be still for mapping, although breathholds won't usually be required. refl.in/9n

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General anaesthesia will be required in patients where keeping still, or airway management under sedation, will be difficult. refl.in/9n

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Cardiologists will administer a significant volume of intravenous fluid (up to 3L) as irrigation. Take this into account when administering volume.

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