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Manhattan Cardiology

*Currently, as of 11/22/24, Medicare and Aetna are the only two insurances in-network for radiofrequency ablation

What is Radiofrequency Ablation?

Radiofrequency ablation (RFA) is a minimally invasive procedure that uses heat from radiofrequency waves to destroy abnormal tissue, such as tumors or problematic nerves. A thin catheter is inserted through the skin and into a blood vessel, guided by imaging techniques. Add-The catheter will deliver heat, which causes the diseased vein to close and eventually shrink. However, patients should discuss potential risks, like infection or bleeding, with their healthcare provider.

How do you prepare for Radiofrequency Ablation?

Preparing for radiofrequency ablation (RFA) involves several important steps to ensure a safe and effective procedure. First, patients should schedule a consultation with their healthcare provider to discuss their medical history, medications, and any underlying conditions. It is essential to inform the doctor about any blood-thinning medications, as these may need to be adjusted prior to the procedure.

Patients are usually advised to refrain from eating or drinking caffeine for a specified period before the RFA, typically 6-8 hours, especially if sedation will be used. Patients are also encouraged to drink plenty of fluids the day of the procedure. Additionally, wearing comfortable clothing and discussing any concerns or questions with the healthcare team can help ease anxiety and ensure a smooth experience.

What can you expect during Radiofrequency Ablation?

During radiofrequency ablation (RFA), patients can expect the following steps:

  • Preparation:
    • Local anesthetic is administered to numb the area where the catheter will be inserted.
    • Sedation may be provided to help relax the patient, depending on the case.
  • Procedure:
    • A thin catheter is guided through the skin and into a blood vessel using imaging techniques such as ultrasound.
    • Radiofrequency energy is delivered through the catheter to the vein, causing it to close and shrink.
  • Sensations:
    • Patients may feel warmth or mild discomfort during the procedure, but significant pain is typically not expected.
  • Duration:
    • The total visit time is about 30-45 minutes and the procedure usually takes about 15 minutes.
  • Post-Procedure Monitoring:
    • Patients are monitored for a short period after the RFA before being discharged.

What is the followup and recovery like for Radiofrequency Ablation?

Recovery from radiofrequency ablation (RFA) includes the following steps:

  • Immediate Recovery: Patients are monitored for a few minutes and go home the same day.
  • Post-Procedure Care: Follow instructions for caring for the insertion site and take prescribed pain relief medications as needed.
  • Activity Restrictions: Avoid strenuous activities and heavy lifting for several days to a week.
  • Follow-Up Appointments: A follow-up visit is typically scheduled within one to two weeks to assess healing and treatment effectiveness.
  • Long-Term Monitoring: Ongoing follow-ups may be needed, and patients should report any unusual pain, swelling, or signs of infection promptly.

What are the potential risks of Radiofrequency Ablation?

While radiofrequency ablation (RFA) is generally considered safe, there are potential risks and complications that patients should be aware of. Infection is a possibility at the insertion site, as with any procedure involving skin incisions. Additionally, there may be minor bleeding at the catheter insertion site or internal bleeding, particularly if blood-thinning medications are not managed properly. Rarely, RFA can inadvertently damage nearby nerves, leading to numbness or weakness. There is also a small risk of injury to surrounding organs or tissues, especially when the procedure is performed near sensitive areas.

Patients may experience pain or discomfort at the treatment site, which can be temporary or, in some cases, persistent.

Are there related tests or diagnostics to Radiofrequency Ablation?

Before undergoing radiofrequency ablation (RFA), several tests and diagnostic procedures may be necessary to evaluate the patient’s condition and determine the appropriateness of the treatment. These may include:

  • Imaging Studies: Techniques such as ultrasound, are often used to visualize the area of interest.

Meet Manhattan Cardiology

Randy Gould, DO, FACC, is a highly experienced cardiologist with over 20 years of expertise in diagnosing and treating a wide range of cardiovascular conditions, including hypertension, hyperlipidemia, coronary artery disease, congestive heart failure, palpitations, and atrial fibrillation. He earned his medical degree from Nova... Learn More »