PMID: 16288702Nov 18, 2005Paper

Abdominal aortic aneurysm repair in octogenarians versus younger patients in a tertiary referral center

Vascular
Niamh HynesSherif Sultan

Abstract

Operative survival is as high as 96% for elective abdominal aortic aneursym (AAA) repair but as low as 10% for emergency repair. Our primary aim was to compare elective AAA repair in octogenarians with nonoperative management. Our secondary aim was to compare octogenarians with their younger counterparts. From 1998 to 2003, 180 patients with AAA were treated operatively or nonoperatively. Factors determining treatment included American Society of Anesthesiologists grade >or= 4, inoperable malignancy, New York Heart Association class III, forced expiratory volume in 1 second < 35%, creatinine > 6.0 mg/dL, and patient and family choice. A parallel-group observational study was performed to assess age and treatment effects on outcome. Seventy (39%) patients were repaired electively, 68 (38%) were managed nonoperatively, and 42 (23%) underwent emergency repair. Fifty-nine (33%) were octogenarians. The octogenarian 5-year survival rate was 20% following emergency repair, 42% if treated nonoperatively, and 83% following elective repair. Younger cohort rates were 55% (emergency), 44% (nonoperative), and 76% (elective). The octogenarian mean expansion rate was 0.26 cm/yr in those treated nonoperatively and 1.04 cm/yr in confirmed ruptu...Continue Reading

References

May 1, 1975·Archives of Surgery·W H Baker, J R Munns
Nov 1, 1976·Archives of Surgery·T F O'DonnellR R Linton
Oct 1, 1990·European Journal of Vascular Surgery·G JohanssonJ Swedenborg
Apr 1, 1986·The Surgical Clinics of North America·L H Hollier
Aug 1, 1994·Mayo Clinic Proceedings·J W HallettP C Pairolero
Jul 1, 1993·Journal of Vascular Surgery·H Bengtsson, D Bergqvist
Apr 22, 1993·The New England Journal of Medicine·C B Ernst
Mar 1, 1993·Annals of Vascular Surgery·M J PerkoJ E Lorentzen
Jan 1, 1996·Journal of Vascular Surgery·D T HardmanM Appleberg
Jan 10, 1998·Journal of Vascular Surgery·V J HalpernJ R Cohen
Mar 31, 1998·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·H P van DongenA de Boer
Oct 22, 1998·The British Journal of Surgery·A JonesR Gardham
Jan 6, 1999·The British Journal of Surgery·J D BlankensteijnB C Eikelboom
Mar 27, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·I KantonenK Ylönen
Apr 7, 1999·VASA. Zeitschrift für Gefässkrankheiten·T BürgerZ Halloul
Jun 26, 1999·The British Journal of Surgery·P S BasnyatM H Lewis
Jul 13, 1999·Journal of the American College of Surgeons·T OhkiR T Lyon
Dec 7, 2000·Journal of Vascular Surgery·J A HellerK C Kent
Feb 15, 2001·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S SultanG Shanik
Oct 23, 2001·Annals of Vascular Surgery·A C LobatoE B Diethrich
Apr 18, 2002·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Luc H B WalschotAndré L M Verbeek
May 10, 2002·The New England Journal of Medicine·UNKNOWN United Kingdom Small Aneurysm Trial ParticipantsS G Thompson
Jun 8, 2002·JAMA : the Journal of the American Medical Association·Frank A LederleUNKNOWN Veterans Affairs Cooperative Study #417 Investigators
Aug 10, 2002·Journal of Vascular Surgery·Frank R ArkoChristopher K Zarins
Feb 4, 2003·Journal of Vascular Surgery·Peter M BrownBoris Sobolev
Feb 4, 2003·Journal of Vascular Surgery·Matthew T MenardMichael Belkin
Mar 26, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S J KorhonenM Lepäntalo
Mar 29, 2003·Journal of Vascular Surgery·Mark F FillingerFrancis E Kennedy
Oct 21, 1961·JAMA : the Journal of the American Medical Association·R D DRIPPSJ E ECKENHOFF
Jan 14, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M PrinssenUNKNOWN DREAM trial participants
Nov 16, 2004·Irish Journal of Medical Science·P A Grace
Nov 20, 2004·ANZ Journal of Surgery·Maged AzizRussell Bourchier
Jan 15, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S SolbergB K Jacobsen
Apr 5, 2005·Vascular and Endovascular Surgery·Sherif SultanDonald Courtney
Apr 9, 2005·The New England Journal of Medicine·Loren G MillerBrad Spellberg

❮ Previous
Next ❯

Citations

Jan 22, 2008·Journal of Vascular Surgery·Margot HenebiensMark J W Koelemay

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.