Long term diseases such as heart disease, diabetes or
What to Expect
Prior to Procedure
The care team may meet with you to talk about:
Current medicines, herbs, and supplements that you take and whether you need to stop taking them before the procedure
Fasting before the procedure, such as avoiding food or drink after midnight the night before
Whether you need a ride to and from the procedure
Tests that will need to be done before the procedure
The doctor will give local anesthesia. The area will be numbed. You may get other medicine to help you relax.
Description of Procedure
The doctor will insert a tube (catheter) into a blood vessel. The groin, upper thigh area, arm, or wrist can be used. The catheter is passed through a blood vessel to the heart. X-rays will help guide the catheter to the right place.
The doctor will locate the problem area. This will be done by setting off the arrhythmia with the catheter tip. When found, the area is cooled with the tip. The cold will temporarily stop the arrhythmia. The heart should then beat normally. If it is not the right area, the tip is removed. The tissue will not be damaged.
The tubes will be taken out and the area will be bandaged.
How Long Will It Take?
3 to 6 hours, but it could be longer
Will It Hurt?
You may feel some minor discomfort as the catheter is inserted. You may feel lightheaded or feel a fast heartbeat or chest pain during the freezing process.
Average Hospital Stay
Most people stay overnight. If there problems, the stay may be longer.
At the Hospital
The healthcare staff will watch your vital signs. They will also care for the insertion site.
Most can return to normal activities in a few days.
Call Your Doctor
Call your doctor if you are not feeling better or you have:
Fever or chills
Redness, swelling, pain, excess bleeding, or discharge from the insertion site
Numbness, tingling, or a white or blue color in your leg
Nausea or vomiting
Pain in the jaw, chest, neck, arms, or upper back
Lightheadedness or weakness
If you think you have an emergency, call for medical help right away.
Ablation for arrhythmias. American Heart Association website. Available at: https://www.heart.org/en/health-topics/arrhythmia/prevention--treatment-of-arrhythmia/ablation-for-arrhythmias#.W0On_tVKhQI. Accessed August 27, 2021.
Andrade JG, Wells GA, et al. Cryoablation or drug therapy for initial treatment of atrial fibrillation. N Engl J Med. 2021;384(4):305-315.
Catheter ablation. Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/catheter-ablation. Accessed August 27, 2021.
Catheter ablation. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/catheter-ablation. Accessed August 27, 2021.
Last reviewed July 2021 by
EBSCO Medical Review Board
Nicole Meregian, PA
Last Updated: 8/27/2021
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.