OBJECTIVES: This study was undertaken to evaluate predictors and outcomes of octogenarians who underwent abdominal aortic aneurysm repair. DESIGN: A prospective observational study. MATERIALS AND METHODS: Between January 1st, 1997 and April 15th, 2005, 31 octogenarians were admitted to our Department with the diagnosis of abdominal aortic aneurysm. Mean follow-up time was 53.7+/-27.2 months. All patients were in good clinical condition and represented a selected healthy group of octogenarians. RESULTS: The overall perioperative (30-days) mortality rate was 3.1%. The total in-hospital morbidity rate was 22.6%. Overall survival estimates at 48 and 96 months were 81+/-8% and 46+/-21%, respectively. The actuarial freedom from aneurysm-related death at 48 and 96 months was 96+/-4% and 96+/-4%, respectively. The actuarial freedom from aneurysm-unrelated death at 48 and 96 months was 84+/-7% and 48+/-21%. Only coronary artery disease was a significant predictor of survival using multivariate stepwise logistic regression analysis. CONCLUSIONS: In this series, AAA surgery was carried out in selected octogenarians without affecting long-term survival.
Abdominal aortic aneurysm repair in octogenarians: outcomes and predictors / L. Dainese, F. Barili, R. Spirito, V.K. Topkara, G. Pompilio, M. Trezzi, G. Polvani, P. Biglioli. - In: EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. - ISSN 1078-5884. - 31:5(2006 May), pp. 464-469.
|Titolo:||Abdominal aortic aneurysm repair in octogenarians: outcomes and predictors|
POLVANI, GIANLUCA (Penultimo)
BIGLIOLI, PAOLO (Ultimo)
|Parole Chiave:||Aortic aneurysm, abdominal; Follow-up studies; Octogenarians; Surgery|
|Settore Scientifico Disciplinare:||Settore MED/23 - Chirurgia Cardiaca|
|Data di pubblicazione:||mag-2006|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.ejvs.2005.11.010|
|Appare nelle tipologie:||01 - Articolo su periodico|