Allied Professionals Community of Practice

  • 1.  pre ablation chest CT

    Posted 06-16-2022 13:03
    Are any of your institutions utilizing CT to evaluate the LAA appendage prior to afib ablations, rather than TEE?

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    Janet Powell MSN, FNP
    Nurse Practitioner
    Ballad Health CVA Heart Institute
    Kingsport TN
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  • 2.  RE: pre ablation chest CT

    Posted 06-17-2022 11:42

    Hi Janet,

     

    Not at my institution, White Plains hospital.

     

    Regards,

     

    Martha G. Ferrara, DNP FNP CCDS FHRS

    Assistant Director EP Services

    White Plains Hospital

    HRS AP Council Chairwoman

    MFerrara3@wphospital.org

    @MGMayanrn

     




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  • 3.  RE: pre ablation chest CT

    Posted 06-17-2022 11:46
    Hi all, 

    We have been using CT for a while now in lieu of TEE. Especially helpful for redo procedures. 

    Amber 



    Original Message


  • 4.  RE: pre ablation chest CT

    Posted 06-18-2022 07:47
    Since the beginning of the pandemic, we have been using CT rather than TEE.  It's worked incredibly well and we have not had any issues thus far.

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    James O'Hara PhD, PA
    Virginia Heart
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    Original Message


  • 5.  RE: pre ablation chest CT

    Posted 06-20-2022 20:57
    We used CT to evaluate LAA leak at 45 days during the start of the pandemic; however, we returned to using TEE due to a few inaccuracies/discrepancies with results. We do not use CT pre procedure, only TEE.

    Theresa Swartz, DNP, ARNP
    Virginia Mason Franciscan Medical Center
    Tacoma, WA



    Original Message


  • 6.  RE: pre ablation chest CT

    Posted 06-20-2022 14:50
    We were using a CT for all de novo PVIs (for mapping)  until the recent contrast shortage. If there was an questionable thrombus, if they were on warfarin, or recent interruption of DOAC thenwe would also check a TEE.
    Currently we aren't really using CTs.

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    Jessica Mullenix AGNP, CEPS
    Clinical Electrophysiology
    Durham VA Medical Center
    Durham, North Carolina
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    Original Message


  • 7.  RE: pre ablation chest CT

    Posted 04-20-2023 12:11

    Hello Janet,

    We are still utilizing TEE at my institution, Kettering Health Dayton. 

    Barbara



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    Barbara Reynolds
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    Original Message


  • 8.  RE: pre ablation chest CT

    Posted 04-21-2023 08:19

    As I understand it, they are performing CT 1-2 weeks prior and re-evaluating with ICE during the procedure for most of our AF ablations.

     

    Best regards,

     

    Michael Silva, RN, RCES, CCDS
    Device Clinic Manager

    WellSpan Heart & Vascular Center
    msilva@wellspan.org
    Office 717-741-8672
    30 Monument Rd York, PA 17403

    Chat with me on Microsoft Teams

     

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  • 9.  RE: pre ablation chest CT

    Posted 04-21-2023 09:14
    Our practice is cta on pre-op day, unless the have significant renal disease.  TEE at start of case if the Chad2 score >= 3 or of there was any questionable thrombus on the CTA. 





    Original Message


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