Pulsed Field Ablation
Pulsed Field Ablation: A procedure to fix the Irregular Electrical System of Your Heart
Pulsed Field Ablation is a minimally invasive procedure used to treat heart rhythm disorders, such as atrial fibrillation.
What is Pulsed Field Ablation?
Pulsed Field Ablation (PFA) is a procedure performed by a cardiac electrophysiologist primarily to treat arrhythmias, especially atrial fibrillation (AFib). Pulsed field ablation is a new method for destroying tissue without heat. It targets abnormal cells and uses precise high-intensity electrical currents to create irreversible changes in the tissue. As a result of the tissue damage, the abnormal cells are unable to perform as they did in the past.
Who needs Pulsed Field Ablation?
Patients with persistent or recurrent atrial fibrillation who have not responded well to traditional therapies may benefit from Pulsed Field Ablation. This innovative approach offers a new hope for those seeking effective management of their condition.
How safe is PFA for people with heart rhythm disorders?
In the PFA procedure, Dr. Chik uses a tool named Farapuls. The FARAPULSE™ was approved by the Australian Therapeutic Goods Administration (TGA) for use in Australia in 2023. Pulsed Field Ablation is a safer and better treatment because it can be used close to sensitive places like nerves or the esophagus, which are harder to treat with heat methods.
What sensations will I feel during a pulsed field ablation procedure?
During a pulsed field ablation procedure, individuals may experience a range of sensations, including mild pressure or tingling in the chest area. Most patients report feeling relaxed and comfortable throughout the process, as sedation is provided to minimise any discomfort.
How soon should I have a PFA procedure?
If AFib is impacting your life and not under control, Dr Chik recommends considering Pulsed Field Ablation early on. It is the best method for treating atrial fibrillation.
How is pulsed field ablation performed?
Dr Chik gets to your heart using a thin, flexible tube, called a catheter. This catheter is taken from the patient’s groin to the area of the heart where the unusual electrical activity is found.
Where is PFA perfromed?
The procedure will be done in a catheter labatory (CathLab) with your doctor and his team. In your Electrophysiologist's team is made up of Dr William Chik, nurses, assisting doctors, a cath lab technician, imaging experts, anesthesiologists, and the workers from the cardiac catheter lab and OR.
What is a CathLab?
A CathLab is a sterile environment, similar to a theater. It has x-ray machines, a monitor, a bed for treatments, and a window for the team to get results fast and share them with the doctor doing the ablation.
How long does a PFA procedure usually take?
Ablation time with PFA usually lasts around 15 minutes or shorter. However, during thermal ablation procedures, it is common to conduct only one or two procedures in a single session.
What procedures can PFA help?
PFA provides treatment for abnormal heart rhythms, including:
- Atrial Fibrillation
- Atrial Flutter
- Supraventricular Tachycardia
- Premature Ventricular Contractions
- Ventricular Tachycardia
What is expected from the hospital stay?
During your hospital stay, you can expect comprehensive care and monitoring for your condition. Fasting is required before your procedure. Following the procedure, you will need to lie flat for a period of time, and you may have to stay overnight or a few nights for ongoing monitoring.
Where would I have the procedure done?
Dr Chik is associated with four hospitals located in Sydney, Australia.
What to expect when I go home?
- You may shower 24 to 48 hours after the procedure, provided your doctor approves it.
- Keep a bandage on the location where the catheter was inserted and ensure the area remains dry.
- Do not soak the catheter site until it has healed. This means you should avoid bathing or swimming.
- Do not participate in strenuous exercise and avoid lifting, pulling, or pushing anything heavy until your doctor advises it is safe.
- If the catheter is positioned in your groin, refrain from walking up stairs for the initial couple of days.
- Continue taking your medication as you usually do. You will also receive instructions regarding the use of any new medicines if necessary.
- Should bleeding occur, lie down and maintain pressure on the area for 15 minutes to try to control it. If the bleeding persists, please consult your doctor or seek immediate medical care.
How do I prepare for cardiac surgery?
During your consultation, Dr William Chik will walk you through detailed instructions for preparing for your procedure. Preparation for cardiac surgery may involve pre-operative tests, modifying existing medications, and adhering to specific dietary guidelines. Please refer to Dr Chik's guidance for further details.
Heart Rhythm Specialist
What is Electrophysiology
Cardiac electrophysiology studies and treats the heart's electrical activities, focusing on rhythm diagnosis and arrhythmia interventions. It includes procedures like electrophysiological studies and catheter ablation to correct abnormal rhythms.
Questions Asked
Heart conditions have the potential to be distressing and significantly overwhelming. This section addresses the questions that patients frequently pose to Dr Chik, and it is intended to provide you with valuable information to help you get ready for your appointment.
What should I expect during my first consultation?
At your first consultation, Dr William Chik (Cardiac Electrophysiologist) will review your medical history, discuss your symptoms, and may order diagnostic tests to better understand your condition.
How long is the recovery period after cardiac surgery?
The recovery period varies depending on the type of surgery and your individual health factors. Dr Chik will provide a personalised recovery plan tailored to your needs.
Are there non-surgical treatment options available?
Yes, non-surgical treatments such as medication, physical therapy, and lifestyle changes may be recommended depending on your specific condition and overall health.
What are the risks associated with cardiac surgery?
As with any surgery, there are risks involved. These may include infection, bleeding, or other complications. Your surgeon will discuss all potential risks with you prior to the procedure.
How do I prepare for cardiac surgery?
Preparation may include pre-operative tests, adjusting current medications, and following specific dietary guidelines. Your healthcare team will provide detailed instructions.
Will I need follow-up appointments after surgery?
Yes, follow-up appointments are crucial to monitor your recovery and address any concerns. Your surgeon will schedule these visits to ensure optimal healing.
Can I get a second opinion before proceeding with surgery?
Absolutely. Seeking a second opinion is encouraged if you have any doubts or need reassurance about your treatment plan. Our team supports your decision to be fully informed.
What should I bring to my consultation?
Bring any relevant medical records, recent tests, a list of current medications, and any questions you may have. This will help the cardiac surgeon provide the best possible care.
How do I know if surgery is right for me?
Your cardiologist will discuss all available options and help you weigh the benefits and risks to determine if surgery is the best course of action for your condition.
Consulting Locations