Catheter ablation of atrial fibrillation in the elderly: does the benefit outweigh the risk?

被引：0
作者：
Kennedy, Robert [1 ]
Oral, Hakan [1 ]
机构：
[1] Univ Michigan, Div Cardiovasc Med, SPC 5853, 1500 East Med Ctr Dr, Ann Arbor, MI 48109 USA
来源：
EXPERT REVIEW OF CARDIOVASCULAR THERAPY | 2013年 / 11卷 / 06期
关键词：
atrial fibrillation; catheter ablation; elderly;
D O I：
10.1586/ERC.13.2
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Atrial fibrillation (AF) is the most common arrhythmia and its prevalence increases with age. Elderly patients with AF require careful management to assure optimal outcomes and prevention of untoward consequences such as stroke. Although radiofrequency catheter ablation has evolved as a highly effective treatment modality to eliminate AF in younger patients, the data on the role of catheter ablation in elderly patients with AF have been rather limited. However, several studies suggest that outcomes of catheter ablation for AF in the elderly can be just as successful as in younger patients. On the other hand, the elderly may be at higher risk for periprocedural complications, specifically thromboembolic events. In this review, the role of catheter ablation for AF in the elderly is discussed in detail.
引用
收藏
页码：697 / 704
页数：8
相关论文
共 62 条
  • [51] Catheter ablation treatment in patients with drug-refractory atrial fibrillation: a prospective, multi-centre, randomized, controlled study (Catheter Ablation For The Cure Of Atrial Fibrillation Study)
    Stabile, G
    Bertaglia, E
    Senatore, G
    De Simone, A
    Zoppo, F
    Donnici, G
    Turco, P
    Pascotto, P
    Fazzari, M
    Vitale, DF
    [J]. EUROPEAN HEART JOURNAL, 2006, 27 (02) : 216 - 221
  • [52] A population-based study of the long-term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley study
    Stewart, S
    Hart, CL
    Hole, DJ
    McMurray, JJV
    [J]. AMERICAN JOURNAL OF MEDICINE, 2002, 113 (05) : 359 - 364
  • [53] Systematic Review: Comparative Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation
    Terasawa, Teruhiko
    Balk, Ethan M.
    Chung, Mei
    Garlitski, Ann C.
    Alsheikh-Ali, Alawi A.
    Lau, Joseph
    Ip, Stanley
    [J]. ANNALS OF INTERNAL MEDICINE, 2009, 151 (03) : 191 - W43
  • [54] Traub D, 2009, CARDIOL J, V16, P113
  • [55] The Impact of Age on the Electroanatomical Characteristics and Outcome of Catheter Ablation in Patients with Atrial Fibrillation
    Tuan, Ta-Chuan
    Chang, Shih-Lin
    Tsao, Hsuan-Ming
    Tai, Ching-Tai
    Lin, Yenn-Jiang
    Hu, Yu-Feng
    Lo, Li-Wei
    Udyavar, Ameya R.
    Chang, Chien-Jong
    Tsai, Wen-Chin
    Tang, Wei-Hua
    Suenari, Kazuyoshi
    Huang, Shih-Yu
    Lee, Pi-Change
    Chen, Shih-Ann
    [J]. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2010, 21 (09) : 966 - 972
  • [56] 2011 ACCF/AHA/HRS Focused Update on the Management of Patients With Atrial Fibrillation (Updating the 2006 Guideline) A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
    Wann, L. Samuel
    Curtis, Anne B.
    January, Craig T.
    Ellenbogen, Kenneth A.
    Lowe, James E.
    Estes, N. A. Mark, III
    Page, Richard L.
    Ezekowitz, Michael D.
    Slotwiner, David J.
    Jackman, Warren M.
    Stevenson, William G.
    Tracy, Cynthia M.
    Fuster, Valentin
    Ryden, Lars E.
    Cannom, David S.
    Le Heuzey, Jean-Yves
    Crijns, Harry J.
    Olsson, S. Bertil
    Prystowsky, Eric N.
    Halperin, Jonathan L.
    Tamargo, Juan Luis
    Kay, G. Neal
    Jacobs, Alice K.
    Anderson, Jeffrey L.
    Albert, Nancy
    Hochman, Judith S.
    Buller, Christopher E.
    Kushner, Frederick G.
    Creager, Mark A.
    Ohman, Erik Magnus
    Ettinger, Steven M.
    Guyton, Robert A.
    Tarkington, Lynn G.
    Yancy, Clyde W.
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (02) : 223 - 242
  • [57] Radiofrequency ablation vs antiarrhythmic drugs as first-line treatment of symptomatic atrial fibrillation - A randomized trial
    Wazni, OM
    Marrouche, NF
    Martin, DO
    Verma, A
    Bhargava, M
    Saliba, W
    Bash, D
    Schweikert, R
    Brachmann, J
    Gunther, J
    Gutleben, K
    Pisano, E
    Potenza, D
    Fanelli, R
    Raviele, A
    Themistoclakis, S
    Rossillo, A
    Bonso, A
    Natale, A
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (21): : 2634 - 2640
  • [58] Comparison of Antiarrhythmic Drug Therapy and Radiofrequency Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation A Randomized Controlled Trial
    Wilber, David J.
    Pappone, Carlo
    Neuzil, Petr
    De Paola, Angelo
    Marchlinski, Frank
    Natale, Andrea
    Macle, Laurent
    Daoud, Emile G.
    Calkins, Hugh
    Hall, Burr
    Reddy, Vivek
    Augello, Giuseppe
    Reynolds, Matthew R.
    Vinekar, Chandan
    Liu, Christine Y.
    Berry, Scott M.
    Berry, Donald A.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 303 (04): : 333 - 340
  • [59] ATRIAL-FIBRILLATION AS AN INDEPENDENT RISK FACTOR FOR STROKE - THE FRAMINGHAM-STUDY
    WOLF, PA
    ABBOTT, RD
    KANNEL, WB
    [J]. STROKE, 1991, 22 (08) : 983 - 988
  • [60] Aging increases pulmonary veins arrhythmogenesis and susceptibility to calcium regulation agents
    Wongcharoen, Wanwarang
    Chen, Yao-Chang
    Chen, Yi-Jen
    Chen, Szu-Ying
    Yeh, Huang-I
    Lin, Cheng-I
    Chen, Shih-Ann
    [J]. HEART RHYTHM, 2007, 4 (10) : 1338 - 1349
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