TITLE

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

AUTHOR(S)
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.
PUB. DATE
September 2003
SOURCE
American Surgeon;Sep2003, Vol. 69 Issue 9, p744
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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...
ACCESSION #
11063722

 

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