An Analysis of Standard Open and Endovascular Surgical Repair of Abdominal Aortic Aneurysms in Octogenarians

Patel, Ajay P.; Langan III, Eugene M.; Taylor, Spence M.; Gray, Bruce H.; Carsten III, Christopher G.; Cull, David L.; Snyder, Bruce A.; Stanbro, Marcus D.; Youkey, Jerry R.; Sullivan, Timothy M.
September 2003
American Surgeon;Sep2003, Vol. 69 Issue 9, p744
Academic Journal
While elective open abdominal aortic aneurysm (AAA) repair has been shown to be safe in selected octogenarians, very little is known about the role of endovascular AAA exclusion in this high-risk cohort. A retrospective review of our vascular surgical registry from January 1996 to December 2001 revealed 51 octogenarians that underwent infrarenal AAA repair. Since 1999 all octogenarians who presented for AAA repair were evaluated for preferential endovascular stent graft placement. Over the 6-year period, 35 patients underwent standard open repair while 16 patients were found to be anatomic candidates for and were treated with an endovascular stent graft. Hospital and office charts were reviewed to compare the endovascular cohort to the standard open cohort. Factors considered included patient comorbidities, perioperative data, and operative outcomes. Statistical analysis was done using Wilcoxon rank sum test and Fisher exact test. The median age for the entire group was 83 years. There were 11 females in the open group and 1 female in the endovascular group. There were no statistically significant differences in preoperative patient comorbidities between groups. Total mortality for the entire series was 11.8 per cent but this included 5 ruptured AAAs, all of which patients died, and 11 additional AAAs that were symptomatic, of which 1 patient died. Total nonruptured mortality for the entire series was 2.2 per cent (0% for the endo-group and 3.3% for the open group). There were statistically...


Related Articles

  • Endovascular Repair First. Galovich, Justin; Donayre, Carlos; Lin, John; Walot, Irwin; White, Rodney A. // Texas Heart Institute Journal;2013, Vol. 40 Issue 5, p553 

    The article considers endovascular aneurysm repair (EVAR) as a treatment option for ruptured abdominal aortic aneurysms (AAA). Topics discussed include mortality rates associated with ruptured EVAR (rEVAR), stent choice, and advantage of a unibody graft in rEVAR. The re-intervention rate of EVAR...

  • Expanded AAA therapy offered via Talent graft.  // Medical Technology & Devices Week;4/21/2008, Vol. 6 Issue 16, p5 

    The article focuses on the Talent Abdominal Stent Graft on the CoilTrac Delivery System by Medtronic for surgical operations on abdominal aortic aneurysms (AAA). Defined as an abnormal bulge in the aorta, AAA are known to present in about 12 million people and responsible for 15,000 deaths in...

  • Biologically Active Stent Graft for Aortic Aneurysms: Rationale and Preclinical Data. Machan, Lindsay // Vascular;Nov2005 Supplement, Vol. 13, pS159 

    This article examines the use of stent grafting in the treatment of abdominal aortic aneurysms (AAA). The mortality rate associated with endovascular aneurysm repair and open surgical repair is discussed. Information is presented on the clinical experience with drug eluting stents in the...

  • 2008 - Antihypertensive therapy with indapamide and perindopril reduced mortality in patients greater than or equal to 80 years. Hung, William W.; Leipzig, Rosanne M. // ACP Journal Club;8/19/2008, Vol. 149 Issue 2, p8 

    The article focuses on a study regarding the effectiveness of antihypertensive therapy in patients, over the age of 80, with persistent hypertension and presents the author's views on it. It describes the procedure of the study, which concluded that antihypertensive therapy reduces mortality in...

  • More evidence that the talent AAA stent-graft performs well: it belongs in the US market! Criado, Frank J. // Journal of Endovascular Therapy;Feb2005, Vol. 12 Issue 1, p46 

    Presents a commentary about the Talent stent-graft in abdominal aortic aneurysm (AAA) medical device. Features of the Talent AAA; Advantages and disadvantages; Availability of the device in the U.S. market.

  • Stent-graft repair for abdominal aortic aneurysm. Kalman, Peter G. // CMAJ: Canadian Medical Association Journal;11/02/99, Vol. 161 Issue 9, p1133 

    Focuses on endovascular abdominal aortic aneurysm repair, a technique using a stent and a balloon to repair damage caused by abdominal anuerysm. History of the medical technology; Success rate of the procedure; How open-surgical repair of such damage is seen as a safer method of treatment.

  • Long-Term Results of Aortic Banding for Complex Infrarenal Neck Anatomy and Type I Endoleak after Endovascular Abdominal Aortic Aneurysm Repair. Krajcer, Zvonimir; Dougherty, Kathryn G.; Gregoric, Igor D. // Texas Heart Institute Journal;2012, Vol. 39 Issue 6, p799 

    For many patients with abdominal aortic aneurysm, unsuitable anatomy of the infrarenal aortic neck precludes endovascular aortic aneurysm repair or causes type I endoleak after the procedure. In an attempt to overcome these challenges, we retrospectively examined the usefulness of aortic banding...

  • Aorto-Uni-Iliac Stent Grafts with and without Crossover Femorofemoral Bypass for Treatment of Abdominal Aortic Aneurysms: A Parallel Observational Comparative Study. Elkassaby, Mohammed; Alawy, Mahmoud; Ali, Mohamed Zaki; Tawfick, Wael A.; Sultan, Sherif // International Journal of Vascular Medicine;12/3/2015, p1 

    We investigated the safety and efficacy of primary aorto-uni-iliac (AUI) endovascular aortic repair (EVAR) without fem-fem crossover in patients with abdominal aortic aneurysm (AAA) and concomitant aortoiliac occlusive disease. 537 EVARs were implemented between 2002 and 2015 in University...

  • Stent surgery for aneurysm has risk of late complications.  // Nursing Standard;3/21/2007, Vol. 21 Issue 28, p16 

    The article reports on the danger of late complications of stent surgery for aneurysm. Researchers from the Netherlands assessed data on patients treated with the first generation of stent grafts for abdominal aortic aneurysm. Conversion to open repair, aneurysm rupture, all-cause death and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics