Evidence map›Paper›PMID 37199002›Full record

ArticleClinical cardiology2023

Safety and efficacy of ablation index-guided atrial fibrillation ablation in octogenarians.

Hideharu Okamatsu, Ken Okumura, Fumitaka Onishi, Akino Yoshimura, Kodai Negishi, Takuo Tsurugi, Yasuaki Tanaka, Koichi Nakao, Tomohiro Sakamoto, Junjiro Koyama

Abstract read
In one paragraph

Article in Clinical cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Outcomes of catheter ablation for atrial fibrillation in octogenarians: a systematic review and meta-analysis.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  2. Clinical outcomes after catheter ablation for atrial fibrillation in elderly patients: a meta-analysis with time-to-event data reconstruction.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Hideharu OkamatsuDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.ORCID https://orcid.org/0000-0001-8122-3561
Ken OkumuraDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Fumitaka OnishiDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Akino YoshimuraDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Kodai NegishiDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Takuo TsurugiDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Yasuaki TanakaDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Koichi NakaoDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Tomohiro SakamotoDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Junjiro KoyamaDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data on the efficacy and safety of atrial fibrillation (AF) ablation using an ablation index (AI) for octogenarians is available. We aimed to compare the efficacy and safety of AI-guided AF ablation between AF patients aged ≥80 years (Group 1) and <80 (Group 2). HYPOTHESIS: We hypothesized that AI-guided AF ablation could complete the procedure with comparable efficiency and safety in patients aged ≥80 years and <80.

methodsWe retrospectively reviewed 2087 AF patients undergoing their first AI-guided AF ablation in our hospital. We compared the atrial tachyarrhythmia (AT) recurrence and procedure-related complication rate between Group 1 (n = 193) and Group 2 (n = 1894).

resultsThe mean age was 83.0 (interquartile range [IQR] 81.0, 84.0) years in Group 1 and 67.0 (IQR 60.0, 72.0) in Group 2. AF type was significantly different between the two groups: Of Group 1 patients, 120 (62.2%) had paroxysmal AF, 61 (31.6%) persistent AF, and 12 (6.2%) long-standing persistent AF, while of Group 2 patients, 1016 (53.6%) paroxysmal AF, 582 (30.7%) persistent AF, and 296 (15.6%) long-standing persistent AF (p = .001). Unadjusted AT recurrence-free survival curves showed similar AT recurrence-free survival between the two groups (p = .67 by log-rank test). After the adjustment for AF type, the survival curve was similar between them (hazard ratio, 1.24; 95% CI [0.92-1.65]; p = .15, Group 1 vs. Group 2). The rate of procedure-related complications was similar between the two groups (3.1% vs. 3.0%, respectively, p = .83).

conclusionCatheter ablation guided by AI achieved similar AT recurrence and complication rates between elderly AF patients aged ≥80 years and patients <80 years.

Indexed as

Atrial FibrillationCatheter AblationPulmonary VeinsAgedAged, 80 and overHeart AtriaHumansOctogenariansRetrospective StudiesTreatment Outcomeablation indexatrial fibrillationcatheter ablationoctogenarians

Identifiers

PMID37199002
PMCPMC10352973

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.