Who is a good candidate for catheter ablation? What do you know?

Introduction: In life, we don't know much about some surgeries for diseases, and we don't do a good job of popularizing science on a large scale. Today, I will take you to understand what patients are suitable for catheter ablation surgery.

Catheter ablation is currently the main means of arrhythmia. It is a minimally invasive surgery, and the advantage of minimally invasive surgery is that the patient has the surgery in the morning and can be discharged from the hospital on the morning of the second day. Minimally invasive surgery can also be achieved, and the process of hospitalization and discharge within 24 hours can also be achieved.

The specific process of the operation is to use a slender catheter with a diameter of about three millimeters to pierce the root of the thigh, and the blood vessel will send the catheter into the heart to find the arrhythmia site for ablation, and after the destruction, the arrhythmia will be ablated.

With the development of modern medical technology, many diseases have been solved with great breakthroughs. Some incurable diseases can be treated through some minimally invasive surgeries, and you can recover your health as soon as possible. So let's talk about what are the advantages of catheter ablation surgery?

First of all, it has a short time, small incision, and a high rate, and achieves the goal of being discharged from the hospital within 24 hours. Especially for the elderly, the degree of harm is great when performing surgery, because considering that the elderly have more underlying diseases, the success rate of some surgeries is often greatly reduced, so catheter ablation surgery has a higher rate and a higher safety factor for the elderly.

Generally speaking, different diseases are treated with different surgeries**, so what kind of patients are catheter ablation surgery suitable for? Catheter ablation is commonly referred to as an arrhythmia, which is the most typical symptom. For example, paroxysmal ventricular tachycardia, atrioventricular nodule reentrant tachycardia, etc., including some classic atrial flutter, are more suitable for catheter ablation surgery, of course, we also need to treat according to our own symptoms combined with doctors.

Patients with arrhythmia, patients with fast heartbeat, heart disease, coronary heart disease, angina pectoris, can do such surgery. I have learned about the method of **, the symptom reaction, and the duration of the disease, the disease situation is very dangerous, and immediate surgery is required, and the incidence is very high.

Patients without other diseases, patients without the onset of the disease, patients without cardiovascular and cerebrovascular diseases, patients without brain diseases, and patients with better economic strength can undergo catheter ablation surgery; Catheter ablation surgery is a very good choice for patients to have a good effect and a very easy process.

Catheter radiofrequency ablation is relatively mature**, and the current indications are mainly for two categories of patients:

The first type of paroxysmal atrial fibrillation, that is, paroxysmal atrial fibrillation sometimes occurs and sometimes does not occur, which has the best effect.

The second type of persistent atrial fibrillation is not a long duration, the patient is persistent atrial fibrillation, and it is atrial fibrillation all the time, but this duration is only a few months, a year, and the longest should not exceed two years. After more than two years, the patient will be advised to undergo a hybrid surgery. The surgeon ablates externally, and the physician ablates internally, although both use radiofrequency, but this is not exactly a catheter and requires surgical assistance.

At present, catheter radiofrequency ablation is mainly paroxysmal atrial fibrillation and should not last more than two years.

Inadequate sinus tachycardia with cardiomyopathy tachycardia can be used for ablation**As a new interventional technique, there are certain indications and contraindications, and not all patients with atrial fibrillation can undergo this procedure. Radiofrequency ablation depends on the type of atrial fibrillation and the patient's general condition. The following arrhythmias can be ablated by cardiac catheter radiofrequency ablation**.

Abrupt cessation of paraaxial supraventricular tachycardia and palpitations, lasting minutes to hours of walking, is clearly diagnosed at the outset of the ECG; The biggest contraindication to catheter ablation is the left ear appendix thrombosis, or due to other systemic diseases that have reached the final stage, prophylactic ablation TEM prophylactic paroxysmal with clear indications, mainly used for **tachyarrhythmias. First, one indication is for patients with complex pre-excitation syndrome with paroxysmal atrial fibrillation and rapid ventricular velocity. The definite indications for catheter radiofrequency ablation are:

Complex pre-excitation syndrome with paroxysmal atrial fibrillation and rapid ventricular velocity.

Tachycardia atrial reentry. The most suitable for atrial fibrillation for radiofrequency ablation is: Josep 9312;Atrial fibrillation without underlying heart disease, known as cardiac catheter ablation**, can achieve sexual healing in most patients with rapid arrhythmias due to its high success rate and low risk of complications.

Is catter ablation indicated for patients with isolated or idiopathic atrial fibrillation? Preferred atrial myocardial is: JOS9312; People with atrial fibrillation without underlying heart disease, known as isolated atrial fibrillation or idiopathic atrial fibrillation.

Patients with controlled BEM hypertension and atrial fibrillation; The difficulty of BOM control and the high operating costs are also important factors that limit your development. Which patients with atrial fibrillation are candidates for catheter ablation? According to the professional consensus of MS in the United States for atrial fibrillation and liberation surgical ablation.

In 2017, paroxysmal atrial fibrillation may be combined with patients with atrial fibrillation with blood pressure; Thyroid dysfunction.

For primary atrial fibrillation and paroxysmal atrial fibrillation, if these patients do not have structural heart disease, radiofrequency ablation can be performed**, the success rate of cardioversion is the highest, the effect is also the best, and it is also preferentially recommended. Radiofrequency ablation may also be recommended for patients with atrial fibrillation who are ineffective with medications** and who are unwilling to take cardioversion drugs for a long time**.

It may be that some patients who are in good health, followed by patients with better resistance and no problems in all aspects of physical fitness, are suitable for this kind of surgery. I recommend that people who are particularly old should never do it, because there may be some damage to their body, and it is necessary to take a more conservative way.

Patients with poor drug effect, people with no malformation of blood vessels, people without congenital heart disease, people with atria is not particularly large, people with paroxysmal atrial fibrillation, but no substantial heart disease, and people who are unwilling to take drugs for a long time can do catheter ablation surgery. When doing catheter ablation surgery, you must go to a regular hospital for a detailed examination, and do not take it lightly and cause bad consequences. When doing bile duct ablation surgery, you must choose a regular big hospital, and don't choose some small hospitals to save money and cause bad consequences.

Paroxysmal supraventricular tachycardia, pre-excitation syndrome, atrial flutter or atrial tachycardia, sudden ventricular tachycardia, etc., these patients are more suitable for catheter ablation surgery, with less trauma, fast postoperative recovery, greater success rate, early detection, early **, and early recovery of health.

Patients younger than 75 years of age with frequent episodes of paroxysmal atrial fibrillation are generally candidates for radiofrequency ablation**. However, some atrial fibrillation caused by organic lesions, such as hyperthyroidism or rheumatic valvular disease, requires radiofrequency ablation** at the same time as the original systemic disease to achieve satisfactory results.

Introduction: When people are not feeling well, they must go to the hospital for timely examination, so that they can treat the symptoms, and the rate is relatively high. Many people will ask what are the risks of catheter ablation surgery, so let's find out together.

First of all, we must know that catheter ablation surgery is to insert the polar electricity into people's hearts by puncturing blood vessels, and can evaporate the water of some local tissues through some thermal efficiency. During the operation, there will be a state of local anesthesia, so the patient is relatively awake during the operation, and can tell the doctor his feelings, so in the process, you must know to tell the doctor your feelings, and you must also understand that there will be some risks in general anesthesia and surgery, and the operation will be completed in about an hour, so the patient only needs to stay in the hospital for two or three days before being discharged.

And we need to know that cardiac radiofrequency ablation surgery is introduced into people's veins or arteries and blood vessels through electrodes and tubes into specific parts of people's hearts, at this time, some current will be released, so that people's hearts feel a contract, and will not block the problem of tachyarrhythmia, and the success rate of interventional surgery can be very high through derivatives or origin points, so it can generally live a normal life in about a month.

Therefore, people do not have to worry about the risks of catheter ablation surgery, although there is a certain amount of ***, at this time, the doctor will try to help you avoid achieving the best ** result according to his judgment. Therefore, you must know how to take care of your body in normal times, it is very important to have a healthy body, and when you feel that you are not feeling well, you must go to the hospital in time. Because the doctor is more professional, asking the doctor at this time is the best way, and he may delay the condition, so if you are sick, you need to treat it early, and the effect is the best at this time.

I know a lot, and it is very likely that there will be ** failure, there may be conduction block, there may be cerebral embolism, it may lead to brain death, and there may be mental retardation.

There are many risks, first of all, it will cause damage to the lining of blood vessels or blood vessels, it will also lead to damage to the atrial muscles, and it will also cause many complications, which can also lead to atrial fibrillation.

Catheter ablation surgery can cause some damage to blood vessels, speed up blood flow, and may cause heart discomfort during the procedure, and may also cause atrial fibrillation.

Legal analysis: Whether the surgical expenses can be reimbursed should be treated according to the situation, and there are three main categories.

1. The scope of diagnosis and treatment items that are not covered by the medical insurance of the base potato peiben: organ sources or tissues for transplantation of various organs or tissues; various cosmetic and bodybuilding programs, as well as non-functional cosmetic and orthopedic surgeries; myopia eye orthopedics;

2. The scope of diagnosis and treatment items paid for by basic medical insurance: pacemakers, artificial joints, intraocular lenses, vascular stents and other artificial organs and endostatic materials for internal replacement; kidney, heart valve, cornea, **, blood vessels, bone, bone marrow transplantation; Cardiac laser perforation, anti-tumor cell immunity** and fast neutron** projects; hemodialysis, peritoneal dialysis;

3. The normal insurance coverage of basic medical insurance: except for the scope of diagnosis and treatment items that do not pay fees and the scope of diagnosis and treatment items that pay part of the costs, if they belong to the scope of payment of medical insurance for urban and rural residents, they shall be booked by the designated medical institutions of medical insurance, and the medical insurance for urban and rural residents shall be paid in accordance with the regulations.

Legal basis: Social Insurance Law of the People's Republic of China

Article 2 The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to ensure citizens' right to receive material assistance from the State and society in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State. Weigh up.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Catheter ablation is a minimally invasive interventional operation, which only needs to be performed under local anesthesia, during the operation, the patient is awake, and the vein is punctured to lift the blood vessel into the diameter, leaving only a ** incision the size of a needle's eye. The catheter is sent into the heart to ablate the lesion causing atrial fibrillation, and the operation takes about 2 hours, and the puncture site needs to be pressed by a sandbag for only 6 hours after surgery, and the postoperative bed needs to be rested for 6 hours before you can move on the ground. During the 3-month postoperative observation period, anticoagulants are generally required, and some patients also need to use a small amount of antiarrhythmic drugs, after which all drugs can be discontinued.

Catheter ablation itself has no effect on the patient's activities, eating, or other daily routines, and is well tolerated by older people.

Catheter ablation can replace Huafa Lin for patients with atrial fibrillation, and it can also reduce the occurrence of stroke. Paroxysmal atrial fibrillation with frequent episodes (>2 episodes per month) with small or mildly enlarged atria is best suited for catheter ablation**. Chronic atrial fibrillation or paroxysmal atrial fibrillation with overt heart failure may also be used.

For paroxysmal atrial fibrillation, the success rate of one catheter ablation is about 80 percent, and after two sessions, it can reach 90 percent. For chronic atrial atrial ablation, the success rate of one catheter ablation is about 70 percent, and after two times, it can reach 80 percent and 90 percent. Catheterization is not currently recommended for patients with paroxysmal atrial fibrillation with infrequent episodes and atrial fibrillation who also require surgical thoracotomy.