Just wanted to come back and share the story of my catheter ablation for AVNRT that I had yesterday. It went just as well as the account I posted above from the other woman who had it done here.
They took me back and went through all the warnings and such and had me change into the gown. They started an IV, which is only a small prick. They took me back to the path lab and got me started on the drugs (the conscious sedation drug and a pain drug). Then they proceeded to hook me up to the monitors and put patches on my back that allow the computer to create 3d images. This all took about
10 minutes and then I could tell the drugs were starting to kick in. I watched the ceiling tiles swim and it was just like being drunk at first. Next thing I knew the ceiling tiles were racing faster and this woman was talking to me about
putting in the urinary catheter. From there I don't remember a thing until I woke up in the recovery room. I only remember a couple of seconds of waking up twice in the recovery room and seeing my family. I didn't wake up at all during the procedure. I only woke up for a few minutes at a time for the 2-3 hours following the procedure and don't remember hardly anything, including the conversations my family said I had with them. The worst part about
the whole thing was that I was extremely nauseous for the 2-3 hours after the procedure was over. Turns out that's because they had to give me 3x the drugs they normally give. My extra pathway from my AVNRT was really really close to my AV node, so they had to burn just a little at a time to be very careful not to knock out the AV node and have to give me a pacemaker. They took their time and only did a little at a time. They said they'd do a little and then try and trigger my SVT again and then when my heart started racing again they'd do a little more. They did that until they finally spent 30 minutes the last time trying to trigger the SVT and it never triggered again. However, because they did it little by little, it took almost 4 hours (they said an easy case only takes 1-2 hours). They gave me a ton of drugs to keep me knocked out that long and also to be sure I kept perfectly still so they didn't take out my AV node since they were working so close to it.
So really, the only bad part was waking up after the procedure and being nauseous, but it was only a few hours. They gave me a couple of shots for that and I finally took a little nap and woke up last night feeling much better. I was able to get my catheter out and walk around by about
6 hours after the procedure, although I could have done it a little sooner had I not been so nauseous. I was stiff and dizzy at first, but it got better the longer I was up and about
. I ate some dinner around 7 hours after the procedure and slept well last night. I was released at 10 this morning after being examined by my EP to make sure that my incisions weren't infected. I've been a little stiff when I've been up and walking today, but it gets better the longer I'm up. I'm a little weak, but I'm actually feeling much better than I expected. I haven't had any missed beats or palps yet, but was warned that I could get missed beats for up to a month. I'm Toprol for another 6 weeks until my follow-up appointment, but only half the dose I took before the procedure. I'll be very happy to get off it for good in 6 weeks. I was also told I could return to caffeine, chocolate and alcohol, so that was good news.
My EP told me this morning that if for some reason they didn't get the whole pathway (since it was so close to the AV node), I would know within a year. He said once a year had passed, I could be sure that it was gone for good. They were very confident that they got it all this time though. So far I've had several Coca-Colas and lots of chocolate and no episodes. I'm very happy with the whole thing. The procedure was a breeze and so far the recovery isn't too bad. I would definitely recommend it to anyone out there with AVNRT (or any of the other conditions that the procedure can help)! I think you just have to really research and find a good EP and ask lots of questions beforehand.
If anyone ever wants to know more, you're welcome to email me:
[email protected]