Mandaya Heart Arrhythmia Center is equipped with all available cardiac ablation technologies to treat arrhythmias (heart rhythm disorders), including 2D and 3D cardiac ablation, as well as the latest Pulse Field Ablation (PFA) technology for managing atrial fibrillation (AFib).
The complete range of ablation procedures offered at Mandaya Royal Hospital Puri is great news for arrhythmia patients looking for the best possible treatment. This means Indonesian patients no longer need to travel abroad for advanced care.
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2D, 3D, and PFA Cardiac Ablation at Mandaya Royal Hospital Puri
Arrhythmia is a condition where the heartbeat is irregular—it may beat too fast, too slow, or erratically. Atrial fibrillation (AFib) is one of the many types of arrhythmias. Symptoms include heart palpitations, chest pain, and shortness of breath.
Cardiac ablation procedures at Mandaya Royal Hospital Puri are performed by Dr. Sebastian A. Manurung, Sp. JP, Subsp. Ar(K), FIHA, a cardiologist specializing in heart rhythm disorders. He actively participates in international training programs.
Here is an explanation of the 2D, 3D, and PFA ablation procedures offered at Mandaya Royal Hospital Puri:
1. 2D & 3D Cardiac Ablation
Mandaya Royal Hospital Puri provides both conventional 2D and more advanced 3D cardiac ablation technology.
In both 2D and 3D ablation, the heart’s damaged areas are treated one by one using a single-point catheter, making the procedure longer—approximately 3 to 4 hours.
These methods use either heat energy (radiofrequency ablation or RFA) or cold energy (cryoablation), depending on the patient’s condition. The selected energy is delivered via a catheter inserted through the groin and guided to the heart.
Once it reaches the heart, the catheter delivers heat or cold to create small scars in the heart tissue. These scars block the abnormal electrical signals causing the arrhythmia.
“With 3D cardiac ablation, we as doctors and operators can map the exact location or source of the arrhythmia more precisely and accurately,” said Dr. Sebastian.
“This ablation catheter is one of the answers for arrhythmia treatment because it gives very promising outcomes. Around 93-95% of patients are completely cured, with no recurrence,” he added.
2. Pulse Field Ablation (PFA)
Unlike the 2D and 3D methods that use thermal energy (heat or cold), Mandaya Royal Hospital Puri also offers Pulse Field Ablation (PFA), which has many advantages for treating atrial fibrillation (AFib).
The initial steps are similar: a catheter is inserted through the groin and guided to the heart.
However, the PFA catheter is multipoint or multipolar, allowing it to deliver energy to multiple points at once. This significantly shortens the procedure time compared to 2D and 3D ablation. Moreover, PFA uses electrical energy rather than thermal energy.
“In PFA, we use a multipolar catheter that can simultaneously deliver energy to multiple areas,” explained Dr. Sebastian.
“Because it delivers more energy at once, the AFib ablation procedure is much quicker. A 3D RFA procedure might take 3–4 hours, but with PFA, it can take less than 2 hours,” he emphasized.
Additionally, PFA offers a higher long-term success rate in treating AFib compared to other ablation types.
Meet Dr. Sebastian, the Arrhythmia Specialist
As of 2024, there are only 46 cardiologists in Indonesia who specialize in arrhythmia. Given the high number of arrhythmia patients, this number is still insufficient. However, you don’t need to worry about finding a top arrhythmia specialist—you can visit Mandaya Royal Hospital Puri and consult directly with Dr. Sebastian.
As one of Indonesia’s few arrhythmia specialists, Dr. Sebastian has an impressive resume. He’s also capable of performing various heart-related procedures beyond just cardiac ablation.
If you’re interested in consulting with Dr. Sebastian or undergoing cardiac ablation at Mandaya Royal Hospital Puri, you can use the chat feature on WhatsApp, book an appointment, or download the Care Dokter app from Google Play or the App Store. This will help simplify your visit, check your queue number, and access complete information.
