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Varies by arrhythmia."},"fly_home_after_days":{"min":2,"max":4,"unit":"days","qualifier":"After overnight observation and groin-site check; depends on arrhythmia treated, access-site healing and physician clearance."},"follow_up_visits":[{"purpose":"wound_check","after":{"min":1,"max":7,"unit":"days","qualifier":"Groin access-site check, often before departure or with local doctor."},"requirement":"routine"},{"purpose":"assessment","after":{"min":30,"max":90,"unit":"days","qualifier":"Cardiology review with ECG or rhythm monitoring; timing depends on arrhythmia."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"Rhythm monitoring after blanking period to confirm success and guide medication decisions."},"requirement":"routine"}],"indications":["Symptomatic or recurrent SVT (AVNRT, AV reentrant tachycardia/accessory pathway)","Atrial flutter and other organized atrial tachycardias","Symptomatic atrial fibrillation refractory to or intolerant of antiarrhythmic drugs","Selected ventricular tachycardia or frequent symptomatic premature ventricular contractions"],"main_risks":["Groin bleeding, hematoma or pseudoaneurysm at the puncture site","Cardiac perforation with pericardial effusion/tamponade (uncommon)","Thromboembolism including stroke or TIA (uncommon)","AV block requiring pacemaker, depending on ablation site","Rare left atrial risks: phrenic injury, PV stenosis, atrioesophageal fistula","Radiation exposure and anesthesia-related risks"],"pain":"Usually mild to moderate: groin puncture discomfort, and sometimes mild chest discomfort or sore throat; pain control depends on sedation or anesthesia used.","preparation":["Pre-procedure ECG, rhythm documentation, blood tests, often echocardiography","Selected TEE or CT/MRI to exclude thrombus, define anatomy","Fasting for several hours before the procedure","Clinician-directed review of anticoagulant and antiarrhythmic medicines","Informed consent; arrange transport and an adult companion after discharge"],"recovery_timeline":[{"phase":"First hours","description":"Bed rest with the leg kept straight for a few hours after catheter removal while the groin site and heart rhythm are monitored.","restrictions":["Keep the access leg straight as instructed"]},{"phase":"First days","description":"Return home same day or after one night; mild groin soreness, bruising and fatigue are common; some chest discomfort or palpitations may occur.","restrictions":["Avoid driving initially if sedated or anesthetized","Avoid heavy lifting and strenuous exertion"]},{"phase":"First 1-2 weeks","description":"Gradual return to normal activity as the puncture sites heal; urgent review for groin swelling, fever, chest pain, shortness of breath or neurological symptoms.","restrictions":["Limit strenuous exercise until cleared by the clinician"]}],"rehabilitation_days":{"min":2,"max":7,"unit":"days","qualifier":"Ordinary functional recovery after uncomplicated femoral-access catheter ablation; no formal rehabilitation program is usually needed."},"result_longevity":"Often long-lasting for SVT and flutter, with high cure rates. Atrial fibrillation and ventricular arrhythmias recur more often; repeat ablation may be needed.","revision_rate_pct":{"min":5,"max":30,"unit":"percent","qualifier":"Repeat ablation within 1-2 years; about 5% for SVT, up to 30% for atrial fibrillation."},"scars":"No surgical incision; only tiny puncture sites in the groin (sometimes neck) that usually heal without a noticeable scar.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single catheter procedure; repeat ablation only if arrhythmia recurs."},"stages":[{"code":"ablation","label":"Electrophysiology study, 3D mapping and radiofrequency ablation in one session","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one session; complex cases such as atrial fibrillation may need repeat later."},"success":{"metric":"Freedom from arrhythmia recurrence after single ablation","value":90,"unit":"percent","horizon":"12 months","population":"Adults with SVT or atrial flutter","evidence_status":"limited"},"techniques":[{"name":"Radiofrequency catheter ablation guided by 3D electroanatomic mapping","suits_whom":"Patients with arrhythmias needing ablation, especially complex substrates (atrial fibrillation, atypical flutter, scar-related VT) or when minimizing fluoroscopy is desired.","recovery":"Usually same-day or overnight stay with a return to light activity within days; details depend on arrhythmia treated."},{"name":"Point-by-point RF ablation with contact-force sensing catheter","suits_whom":"Patients needing left atrial or ventricular ablation, such as AF or scar-related VT.","recovery":"Similar groin-site-driven recovery; specific follow-up depends on arrhythmia."}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":1.5,"max":5,"unit":"hours","qualifier":"Shorter for simple SVT; longer for atrial fibrillation or ventricular tachycardia with extensive mapping."},"initial_assessment_documents":["12-lead ECG showing the arrhythmia","Holter or event monitor report","Echocardiogram report","Previous ablation or procedure reports (if available)","Cardiology discharge summary or clinic letter","List of antiarrhythmic drugs and blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session catheter procedure; stay 2-4 days including pre-procedure tests, overnight observation and groin-site check before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether the surgeon and the facility use a surgical safety checklist, which can reduce complications","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Do the surgeon and his/her facility use a safety 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site","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Chest pain","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16851-catheter-ablation","host":"my.clevelandclinic.org","quote":"Bleeding or a lump at the puncture site Chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Drooping face or arm weakness","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16851-catheter-ablation","host":"my.clevelandclinic.org","quote":"Drooping in your face or weakness in your arm (you should get emergency care if you have these stroke symptoms)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Severe racing heart with shortness of 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the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you 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