Efficacy, Safety, and Outcome of Atrial Fibrillation Ablation in Septuagenarians

Abstract

AF ablation is a safe and effective treatment for AF in septuagenarians.

Perioperative Outcomes and Safety of Atrial Fibrillation Catheter Ablation in Octogenarians: A Retrospective Study and Review of the Benefits of Rhythm Control

“…Santangeli et al [14] demonstrated an ablation success rate of 71% in octogenarians, with no significant increased rate of periprocedural complications when compared to the younger cohort. Bunch et al [12] showed similar results, with success rates ranging between 70 and 80% [11]. Markers significantly associated with repeat AF ablation in our cohort of patients included CAD and prior PCI.…”

“…Given the aging of the population and the projected increasing prevalence of AF [1], determining the safety and efficacy of this procedure in this age group is of the utmost importance. Smaller-scale studies have evaluated AF catheter ablation in elderly patients, showing an apparent benefit and safety [10,11,12,13,14]. In this study, we report the procedural success rate and safety and periprocedural outcomes of octogenarians undergoing AF ablation in a community hospital setting.…”

2012 HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design

“…However, patients over the age of 75 were more likely to demonstrate a partial response to ablation and require antiarrhythmic drug therapy. Another large case series reported a 73% success rate and a 1% complication rate among 174 patients over 75 years of age who underwent AF ablation [518]. Although the results of these studies are encouraging, it is clear that more research is needed.…”

Catheter Ablation to Maintain Sinus Rhythm

“…Another large case series reported a 73% success rate and a 1% complication rate among 174 patients Ͼ75 years of age who underwent AF ablation. 38 Although the results of these studies are encouraging, it is clear that more research is needed. The CABANA trial is expected to be very valuable in this regard.…”