I had a AV node ablation after having a clot in my heart back in 2016 which didnot resolve at that time. and progress could not be made. This procedure has an 80% chance of sucess but I was in the 20% that didn`t. As the breathlessness was still a large problem my EP sugested a PVI after a check to see if the clot had resolved. This was in an effort to resolve my breathlessness. He gave it a 50% chance of success due to my age(75) and the length of time I had been in persistant AF. This again didnot resolve this problem so I will see what he suggests on the 7th October.
This EP has thirty years of experience and heads up the team of EP. He also lectures and teaches. His credentioals are impecable so I can only think to have a second opinion will muddy the waters.
I am one of those patients who is difficult to treat with any degree of sucess. My problems are all electrical related and I have no structural problems and clean arteries.