Carotid artery surgery in the octogenarian

The Australian and New Zealand Journal of Surgery
P C Thomas, M Grigg

Abstract

The value of carotid surgery is largely dependent on the safety of the procedure. With changes in population life expectancy, increasing numbers of elderly patients are being considered for surgery. In the present paper, the results of 113 patients (octogenarians: > 80 years of age) who underwent carotid endarterectomy in the 17 years prior to 1994 are reported. This group composed 6.2% of the 1818 patients treated in the period, 665 (36.6%) operations were performed on patients 50-65 years inclusive and 1040 (57.2%) on patients aged 66-80 years inclusive. The overall peri-operative stroke rate was 2.5% and the postoperative mortality was 1.9% with no statistical difference apparent between the age groups despite hemispheric strokes being the most common indication for operation in the octogenarian group (29.5%) and the least common indication in the youngest age group (16.2%, P <0.01). Long-term follow up (2-7 years) of octogenarian patients undergoing carotid surgery suggested maintenance of pre-operative levels of living independence. The results of the study indicated that octogenarian patients should not be denied carotid endarterectomy on the basis of age alone and that results comparable to those of younger patients can ...Continue Reading

References

Sep 11, 1992·The American Journal of Cardiology·D D GlowerD C Sabiston
Jul 1, 1992·Circulation·R W Smalling
Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Jan 1, 1990·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K S NaunheimH B Barner
Apr 1, 1990·Clinical Cardiology·T T BashourL L Malabed
Aug 1, 1989·Stroke; a Journal of Cerebral Circulation·M Dragunow
Sep 1, 1993·European Journal of Vascular Surgery·R CumingJ T Powell

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Citations

Jan 29, 2005·Current Neurology and Neuroscience Reports·Robert W Hobson
Nov 28, 2002·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·Kathleen J OzsvathDhiraj M Shah
Mar 29, 2003·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·G PrunerR Chiesa
Sep 24, 1999·Journal of Endovascular Surgery : the Official Journal of the International Society for Endovascular Surgery·H D ChastainR L Levine
May 30, 2009·Journal of the American College of Surgeons·Asad A UsmanMark K Eskandari
Jun 21, 2008·Seminars in Vascular Surgery·Rabih A Chaer, Michel S Makaroun
Jun 30, 2005·Seminars in Vascular Surgery·Geza Mozes
Dec 16, 2004·Annals of Vascular Surgery·Amir H DorafsharJulie A Freischlag
Jan 16, 1999·The Journal of Surgical Research·A KazmersL A Jacobs
Sep 27, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·B K DandapaniP Parks
Oct 18, 2005·American Journal of Surgery·David LauAgelikie Vouyouka
Mar 16, 2005·Journal of Vascular Surgery·M Todd MillerJay Hammerling
May 6, 2008·Journal of Vascular Surgery·Mikel SadekPeter L Faries
May 8, 2000·Journal of the American Geriatrics Society·L L Liu, J M Leung
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·O AlozairiJ Brittenden
Jun 10, 1998·Journal of Vascular Surgery·P J O'HaraT M Sullivan
Aug 15, 2012·Journal of Vascular Surgery·Wei ZhouAllyson Rosen
Aug 1, 1997·The Australian and New Zealand Journal of Surgery·W H Isbister
Feb 1, 1997·The Australian and New Zealand Journal of Surgery·G M FrydmanP J Walker
Oct 3, 2009·Geobiology·N PlanavskyP T Visscher
Mar 27, 2004·ANZ Journal of Surgery·Raphael Varghese, Paul Norman

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