Aim of the study: This article summarizes our experience in endovascular repair of abdominal aortic aneurysm in octogenarian patients. Material and methods: From January 2000 to December 2005 30 patients (mean age 84 years) underwent endovascular repair of abdominal aortic aneurysm; in 28 cases a loco-regional anaesthesia has been performed. Twenty-eight bifurcated graft, one straight graft and one aortouniliac graft have been used. Results: No operative mortality or early endoleak have been observed; during the follow-up period (20 months) 7 endoleaks (3 cases type I; 4 cases type II) have been reported; all patients with type I EL underwent endovascular repair; in two patients with type II EL we observed spontaneous regression; the other cases are still monitored in absence of sac enlargement. Four graft occlusions have been observed; one early thrombosis has been treated with surgical thrombectomy, two of the three late occlusions required other procedures. Five patients died during the follow-up period, three of them during the first year. No death has been aneurysm related. DISCUSSION: In accord with other recent studies, our analysis confirms the positive impact on intra-operative and early post-procedural mortality of the endovascular therapy for abdominal aortic aneurysm in octogenarian patients; no evidence of significative benefit on late survival has been observed. Conclusion: In conclusion we consider endovascular option as the best approach in octogenarian patients even if a longer follow-up is mandatory.

Trattamento endovascolare di Aneurismi dell’aorta addominale in pazienti ottantenari : risultati a medio termine / G. Nano, P. Bianchi, S. Stegher, G. Malacrida, M. Cazzaniga, S. Trimarchi, V. Rampoldi, D.G. Tealdi. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - 79:5(2008), pp. 335-340.

Trattamento endovascolare di Aneurismi dell’aorta addominale in pazienti ottantenari : risultati a medio termine

G. Nano;P. Bianchi;S. Stegher;M. Cazzaniga;S. Trimarchi;V. Rampoldi;D.G. Tealdi
2008

Abstract

Aim of the study: This article summarizes our experience in endovascular repair of abdominal aortic aneurysm in octogenarian patients. Material and methods: From January 2000 to December 2005 30 patients (mean age 84 years) underwent endovascular repair of abdominal aortic aneurysm; in 28 cases a loco-regional anaesthesia has been performed. Twenty-eight bifurcated graft, one straight graft and one aortouniliac graft have been used. Results: No operative mortality or early endoleak have been observed; during the follow-up period (20 months) 7 endoleaks (3 cases type I; 4 cases type II) have been reported; all patients with type I EL underwent endovascular repair; in two patients with type II EL we observed spontaneous regression; the other cases are still monitored in absence of sac enlargement. Four graft occlusions have been observed; one early thrombosis has been treated with surgical thrombectomy, two of the three late occlusions required other procedures. Five patients died during the follow-up period, three of them during the first year. No death has been aneurysm related. DISCUSSION: In accord with other recent studies, our analysis confirms the positive impact on intra-operative and early post-procedural mortality of the endovascular therapy for abdominal aortic aneurysm in octogenarian patients; no evidence of significative benefit on late survival has been observed. Conclusion: In conclusion we consider endovascular option as the best approach in octogenarian patients even if a longer follow-up is mandatory.
Abdominal aortic aneurysms (AAA); Endovascular repair; Octuagenarian
Settore MED/22 - Chirurgia Vascolare
Settore MED/18 - Chirurgia Generale
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/200804
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