Key result
This review summarizes the indications, possibilities, and challenges of anticoagulation treatment in elderly patients requiring cardiac implantable electronic device implantation.
Why the study?
Elderly patients requiring long-term anticoagulation to prevent stroke face higher risk of perioperative complications during CIED implantation as CIED procedures and AF prevalence rise.
This review summarizes the indications, possibilities, and challenges of anticoagulation treatment in elderly patients undergoing CIED implantation.
Answers are grounded in this paper and cite their sources.
Anticoagulation decisions in elderly CIED patients warrant individualized assessment; leaves optimal periprocedural strategies open for prospective trials.
The number of implantations of cardiac implantable electronic devices (CIED), as well as the prevalence of atrial fibrillation (AF), is on the rise as the population ages. At the same time, regardless of the need for CIED implantation, many elderly patients require long-term anticoagulation therapy to prevent stroke. Those patients are considered a group of higher risk of perioperative complications of CIED implantation. This review article provides a summary of the indications, possibilities, and challenges of anticoagulation treatment in elderly patients with indications for CIED implantation.
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Wełnicki et al. (2020) conducted a review in Elderly patients with indications for CIED implantation and need for anticoagulation. Anticoagulation therapy was evaluated. This review summarizes the indications, possibilities, and challenges of anticoagulation treatment in elderly patients requiring cardiac implantable electronic device implantation.
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