So the doctor prior to the procedure stated that there is a small chance that he may not be able to do the ablation in certain instances. He stated that he would do the EP study to map out Liz's electrical pathway of her heart. This would give him the exact location of the aberrant pathway causing her symptoms. So she went in for her procedure, fully expecting that we would fit in the group of people who do not have a condition where the radio frequency ablation would be too risky. Based on what they saw on her EKG they told us not to be surprised if it took up to 5 hours or so.
The nurses notified me when they actually started the procedure and then about an hour later she came in and told me they were finished. I knew then that something was up.
The doctor came in and explained some good news and some not so good. He explained that he conducted the EP study and found exactly where the pathway is, however the not so good news is the location of the pathway. He explained that the pathway is immediately adjacent to the AV node (Atrioventricular Node). This node is the gateway or 'toll booth' for the electrical pathway to travel from the atria to the ventricles to coordinate contractions. The only way for normal electrical activity to move from the atria to the ventricles is through the AV node. Therefore, if the area ablated with the radio frequency ablator gets the AV node in its attempt to get the aberrant pathway then she will have heart block; her atria and ventricles cannot talk to each other and then she would need a pacemaker. This is why he did not proceed.
So now what? He put in a call to Cleveland Clinic and U of Michigan to two of his friends that have access to cryotherapy. With cryotherapy they can use liquid nitrogen at -20deg C to cool the area of the pathway. If this does not lead to heart block, then they wait a few more minutes and do it again. If this works well, then they can use liquid nitrogen at -70deg C and actually burn/freeze the pathway permanently. If she does go into heart block, they warm up the area and it is reversible.
So, we need to call the doctor on Monday and find out who we need to talk to, and will probably go this route. We will see when we can get into somewhere that has access to cryotherapy for heart ablations and try this route as opposed to her having to take medication for the rest of her life.
To do the EP study, they went in through the groin on both legs, and so she is supposed to keep reclined for the next few days and cannot lift anything to allow the pressure in her veins to stay down and prevent any large clotting. She'll gradually go back to normal activity throughout the day tomorrow.
Thanks to everyone for all your prayers and concerns. We were really hoping by this time she would have been 'fixed' but it looks like we have to wait a little more for that to happen. We'll keep you up to date as we find more out. Here are some pictures we took when she got home.
The nurses notified me when they actually started the procedure and then about an hour later she came in and told me they were finished. I knew then that something was up.
The doctor came in and explained some good news and some not so good. He explained that he conducted the EP study and found exactly where the pathway is, however the not so good news is the location of the pathway. He explained that the pathway is immediately adjacent to the AV node (Atrioventricular Node). This node is the gateway or 'toll booth' for the electrical pathway to travel from the atria to the ventricles to coordinate contractions. The only way for normal electrical activity to move from the atria to the ventricles is through the AV node. Therefore, if the area ablated with the radio frequency ablator gets the AV node in its attempt to get the aberrant pathway then she will have heart block; her atria and ventricles cannot talk to each other and then she would need a pacemaker. This is why he did not proceed.
So now what? He put in a call to Cleveland Clinic and U of Michigan to two of his friends that have access to cryotherapy. With cryotherapy they can use liquid nitrogen at -20deg C to cool the area of the pathway. If this does not lead to heart block, then they wait a few more minutes and do it again. If this works well, then they can use liquid nitrogen at -70deg C and actually burn/freeze the pathway permanently. If she does go into heart block, they warm up the area and it is reversible.
So, we need to call the doctor on Monday and find out who we need to talk to, and will probably go this route. We will see when we can get into somewhere that has access to cryotherapy for heart ablations and try this route as opposed to her having to take medication for the rest of her life.
To do the EP study, they went in through the groin on both legs, and so she is supposed to keep reclined for the next few days and cannot lift anything to allow the pressure in her veins to stay down and prevent any large clotting. She'll gradually go back to normal activity throughout the day tomorrow.
Thanks to everyone for all your prayers and concerns. We were really hoping by this time she would have been 'fixed' but it looks like we have to wait a little more for that to happen. We'll keep you up to date as we find more out. Here are some pictures we took when she got home.































