Why the study?
Is ablation of isthmus-dependent atrial flutter safe and effective in elderly patients compared to younger patients?
Is ablation of isthmus-dependent atrial flutter safe and effective in elderly patients compared to younger patients?
Ablation of isthmus-dependent atrial flutter is safe and effective in elderly patients (≥70 and ≥80 years) and should not be withheld based on age.
May support AFL ablation referral in patients ≥70; extends observational data but leaves open randomized confirmation.
Older patients represent 37.5% of patients referred for AFL ablation and displayed a <10% risk of ablation-related complications. Importantly, AFL recurrences were less frequent in patients ≥70 while AF occurrence was as frequent as in patients <70. Similar observations were made in patients ≥80 years. AFL ablation appears to be safe and efficient and should not be ruled out in elderly patients.
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Brembilla-Perrot et al. (2015) studied this question.
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