Review Article

Management of Patients with Atrial Fibrillation: Specific Considerations for the Old Age

Table 3

Catheter ablation of AF in the elderly.

Haegeli et al. [57]Bunch et al. [58]Tan et al. [59]Zado et al. [60]

Inclusion age (years)≥65≥80≥8065–74
70–79≥75
60–69
Mean age (years) 6 9 ± 3 . 5 8 2 ± 2 8 4 ± 5 6 8 ± 3
7 5 ± 4 7 7 ± 2
6 6 ± 4
Number of patients453549185
15132
177
Number of procedures533553228
17434
209
Paroxysmal AF (%)87465562
5353
51
Ablation strategyPVI ± linearPVI ± linearPVIPVI
lesionsLesions
Mean F/U (months)6121827
Periprocedural complication rate (%)
 (i) Pericardial tamponade1.92.80.20.4
 (ii) Deep venous thrombosis02.80.90
 (iii) CVA/TIA000.70.8
 (iv) Retroperitoneal bleeding000.70.4
 (v) Pseudoaneurysm/AV fistula03000.52.7
Freedom of AF74%78%70%84%
72%86%
74%

PVI: pulmonary vein isolation; CVA: cerebral vascular accident; TIA: transient ischemic attack.