Outcome of elective endovascular repair of abdominal aortic aneurysms in octogenarians. 2021

Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
Vascular Surgery, Hospital del Mar, Barcelona, Spain.

OBJECTIVE The need to adjust the indications of elective abdominal aortic aneurysm (AAA) repair among patients with a limited life-span deserves a specific evaluation for octogenarians. The aim of this study was to compare the postoperative results and the long-term survival after endovascular repair of abdominal aortic and/or iliac aneurysms (EVAR) in octogenarians compared with patients under 80 years of age. METHODS Retrospective analysis of 241 consecutive patients who underwent an elective EVAR between 2000 and 2017. EVAR was not considered among patients with clear life-limiting conditions. Patients receiving other than commercially standard infra-renal endoprostheses were excluded. RESULTS Seventy patients (29.0%) were octogenarians. They had a lower rate of active smoking (10.0% vs. 30.4%, P < 0.001) and a higher prevalence of previous cerebrovascular disease (21.4% vs. 11.7%, P = 0.055) than younger patients. Thirty-day/in-hospital complication and mortality rates were not significantly higher among octogenarians when compared with younger patients (24.3% vs. 16.9% and 2.9% vs. 2.4%, respectively). Octogenarians had a lower long-term survival at 1, 3 and 5 years (92.6% vs. 93.3%, 67.7% vs. 78.0% and 39.3% vs. 60.6%, P = 0.039) in the bivariate analysis. However, an age ≥ 80 years per se was not an independent predictor of survival after adjustment for confounding factors. CONCLUSIONS An age above 80 years was not associated with an increased risk of postoperative complications or long-term mortality. Our results suggest that EVAR can be considered in elderly patients without a clear life-limiting condition and with a suitable aneurysm anatomy. Geriatr Gerontol Int 2021; 21: 392-397.

UI MeSH Term Description Entries
D011183 Postoperative Complications Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery. Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000369 Aged, 80 and over Persons 80 years of age and older. Oldest Old
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017544 Aortic Aneurysm, Abdominal An abnormal balloon- or sac-like dilatation in the wall of the ABDOMINAL AORTA which gives rise to the visceral, the parietal, and the terminal (iliac) branches below the aortic hiatus at the diaphragm. Abdominal Aorta Aneurysm,Aneurysm, Abdominal Aorta,Abdominal Aortic Aneurysm,Aneurysm, Abdominal Aortic,Abdominal Aorta Aneurysms,Abdominal Aortic Aneurysms,Aorta Aneurysm, Abdominal
D057510 Endovascular Procedures Minimally invasive procedures, diagnostic or therapeutic, performed within the BLOOD VESSELS. They may be perfomed via ANGIOSCOPY; INTERVENTIONAL MAGNETIC RESONANCE IMAGING; INTERVENTIONAL RADIOGRAPHY; or INTERVENTIONAL ULTRASONOGRAPHY. Endovascular Techniques,Intravascular Procedures,Intravascular Techniques,Endovascular Procedure,Endovascular Technique,Intravascular Procedure,Intravascular Technique,Procedure, Endovascular,Procedure, Intravascular,Procedures, Endovascular,Procedures, Intravascular,Technique, Endovascular,Technique, Intravascular,Techniques, Endovascular,Techniques, Intravascular

Related Publications

Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
May 2008, Journal of vascular surgery,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
June 2010, Journal of vascular surgery,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
September 2001, Annals of vascular surgery,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
August 2016, Vascular,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
August 2009, Zentralblatt fur Chirurgie,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
May 2003, Journal of vascular surgery,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
August 2011, Journal of vascular surgery,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
October 2015, Journal of vascular and interventional radiology : JVIR,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
January 2010, The Mount Sinai journal of medicine, New York,
Lidia Marcos Garcia, and Laura Calsina Juscafresa, and Alina Velescu, and Eduard Casajuana Urgell, and Andrés Galarza Tapia, and Carme Llort Pont, and Albert Clarà Velasco
May 2019, Journal of vascular surgery,
Copied contents to your clipboard!