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Topics:
Cardiology • Cardiac Electrophysiology
Could you describe the variables that influence your decision against or advocating for performing atrial fibrillation/flutter ablations in morbidly obese patients, versus opting for medical therapy and if so, choice of antiarrhythmic agent?
An example could be a patient with BMI of 70 or more who clearly presents the risk for any part of the table mechanisms or securing straps to fail. Could bariatric surgery be recommended prior to ablation?
Answer from: at Community Practice
The short answer is yes. We know extreme obesity will increase procedural complications including but not limited to anesthesia issues, groin access issues, etc. We also know the chances of meaningful long term success in very obese patients is lower than what would be in the trials. Different EPs h...
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