Key result
Invasive EP procedures in octogenarians and nonagenarians are linked to more minor complications versus younger patients.
Why the study?
Catheter ablation is established for cardiac arrhythmia, but data on invasive electrophysiological procedures in aged patients are lacking.
Do invasive electrophysiological procedures have a higher rate of periprocedural complications in octogenarians and nonagenarians compared to younger patients?
Observational
Do invasive electrophysiological procedures have a higher rate of periprocedural complications in octogenarians and nonagenarians compared to younger patients?
Invasive EP procedures are feasible in octogenarians and nonagenarians but carry a higher risk of periprocedural complications compared to younger patients, necessitating individualized risk-benefit assessments.
May warrant heightened vigilance in very elderly EP patients; hypothesis-generating and leaves open need for randomized safety data.
Background: Catheter ablation is an established treatment for cardiac arrhythmia. There is a lack of data on invasive electrophysiological (EP) procedures in aged patients. Conclusion: Invasive EP procedures in octogenarians and nonagenarians are feasible, however a significantly higher incidence of minor periprocedural complications and a trend toward more severe complications and intrahospital fatalities were observed compared to younger patients. These findings support an individual risk-benefit assessment for elderly individuals before invasive EP treatments are conducted.
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Sciacca et al. (2025) conducted an observational in Cardiac arrhythmia. Invasive electrophysiological procedures vs. Younger patients was evaluated on Periprocedural complications and intrahospital fatalities. Invasive electrophysiological procedures in octogenarians and nonagenarians are feasible but have a significantly higher incidence of minor periprocedural complications compared to younger patients.
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