{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T17:58:09Z","timestamp":1769104689673,"version":"3.49.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,2,10]],"date-time":"2025-02-10T00:00:00Z","timestamp":1739145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Catheter ablation (CA) for atrial fibrillation (AF) in the elderly poses a growing challenge. Outcome data regarding CA in these patients are scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Octogenarians with AF or consecutive atrial tachycardia undergoing index or re\u2010ablation (pulmonary vein isolation [PVI] and ablation beyond PVI with different energy sources) in a single center, were analyzed. Study endpoints were efficacy as well as procedural safety. Secondary endpoints included periprocedural complications and predictors for prolonged hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 301 patients (82.1\u2009\u00b1\u20091.9 years, paroxysmal AF <jats:italic>n<\/jats:italic>\u2009=\u200994 [31.2%], CHA<jats:sub>2<\/jats:sub>DS<jats:sub>2<\/jats:sub>\u2010VASc\u2010Score 4.2\u2009\u00b1\u20091.2) undergoing index ablation (<jats:italic>n<\/jats:italic>\u2009=\u2009172\/301, 57.1% [PVI only <jats:italic>n<\/jats:italic>\u2009=\u2009156\/172, radiofrequency <jats:italic>n<\/jats:italic>\u2009=\u200992, cryoballoon <jats:italic>n<\/jats:italic>\u2009=\u200959, pulsed\u2010field ablation <jats:italic>n<\/jats:italic>\u2009=\u20095]) and re\u2010ablation (<jats:italic>n<\/jats:italic>\u2009=\u2009129\/301 [42.9%]) were included. Arrhythmia\u2010free survival at 1 year was 72.6%. Complication rates were low (groin site <jats:italic>n<\/jats:italic>\u2009=\u20092\/301 [0.7%], tamponade <jats:italic>n<\/jats:italic>\u2009=\u20092\/301 [0.7%] and stroke <jats:italic>n<\/jats:italic>\u2009=\u20091\/301 [0.3%]). However concomitant infections (pneumonia <jats:italic>n<\/jats:italic>\u2009=\u20095\/301 [1.7%], urinary\u2010tract\u2010infections <jats:italic>n<\/jats:italic>\u2009=\u20094\/301, [1.3%]) and pacemaker\u2010implantation <jats:italic>n<\/jats:italic>\u2009=\u20096\/301 (2%) occurred more commonly. Hospital stay after CA was 2.3\u2009\u00b1\u20092 nights. Predictors for prolonged hospitalization were complications (odds ratio: 3.1), infections (odds ratio: 2.1), female sex (odds ratio: 1.15) and frailty assessed by Barthel index (odds ratio: 1.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CA for AF in octogenarians shows low procedural complications and reasonable efficacy. However, concomitant infections and pacemaker implantations occur in this cohort. Due to prolonged hospitalization after CA, especially in female and frail octogenarians, same\u2010day discharge may not be suitable for this specific patient cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.16600","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T13:41:22Z","timestamp":1739281282000},"page":"832-841","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Catheter Ablation for Atrial Fibrillation in Octogenarians\u2014Outcome and Impact for Future Same Day Discharge Strategies"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7771-8682","authenticated-orcid":false,"given":"Rahin","family":"Wahedi","sequence":"first","affiliation":[{"name":"Department of Cardiology and Intensive Care Medicine Asklepios Hospital St. Georg Hamburg Germany"},{"name":"Asklepios Campus Hamburg Semmelweis University Budapest 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Germany"},{"name":"Asklepios Campus Hamburg Semmelweis University Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9738-4685","authenticated-orcid":false,"given":"Omar","family":"Anwar","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Care Medicine Asklepios Hospital St. Georg Hamburg Germany"},{"name":"Asklepios Campus Hamburg Semmelweis University Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jannis","family":"Dickow","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Care Medicine Asklepios Hospital St. Georg Hamburg Germany"},{"name":"Asklepios Campus Hamburg Semmelweis University Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Harloff","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Intensive Care Medicine Asklepios Hospital St. Georg Hamburg Germany"},{"name":"Asklepios Campus Hamburg Semmelweis University Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Bengel","sequence":"additional","affiliation":[{"name":"Department of Cardiology University Hospital Giessen und Marburg GmbH Giessen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Wohlmuth","sequence":"additional","affiliation":[{"name":"Research Institute Hamburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6818-6396","authenticated-orcid":false,"given":"Andreas","family":"Metzner","sequence":"additional","affiliation":[{"name":"University Heart Center, Clinic for Cardiology University Hospital Hamburg\u2010Eppendorf Hamburg 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