
Atrial fibrillation ablation
Interventional treatment of atrial fibrillation by pulmonary vein isolation, to restore a regular heart rhythm.
What is it?

When is it indicated?
When medication can no longer calm the palpitations, breathlessness or fatigue linked to the fibrillation, ablation becomes the option of choice to restore a regular rhythm.
When episodes return regularly and then stop on their own, intervening at this stage offers the best chances of lasting success.
If rhythm medications cause side effects or are not advisable in your situation, ablation makes it possible to control the arrhythmia without depending on them.
Prolonged fibrillation can weaken the heart muscle; restoring a regular rhythm then helps the heart recover its contractile strength.
For people who prefer a definitive solution rather than lifelong drug treatment, ablation aims at a durable return to normal rhythm.
Preparation
Procedure
Positioning in the electrophysiology laboratory under sedation or general anaesthesia
Venous puncture at the groin crease and advancement of the catheters up to the heart
Access to the left atrium and anatomical reconstruction by 3D mapping
Electrical isolation of the pulmonary veins by energy applications
Verification of the effectiveness of the isolation
Removal of the catheters and continuous rhythm monitoring
Duration
2 to 4 hours
Results
Most patients notice a marked reduction or even disappearance of fibrillation episodes, with a lasting improvement in quality of life. Regular heart rhythm follow-up is organised, and anticoagulant treatment is continued according to each patient's profile. A second procedure is sometimes necessary to consolidate the result.
Risks and side effects
These risks remain rare. Your physician will inform you in detail before the examination.
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