Carotid Endarterectomy Outcomes in the Elderly: A Canadian Institutional Experience

Annals of Vascular Surgery
Robert James DoonanHeather L Gill

Abstract

Carotid endarterectomy (CEA) is a well-established surgical intervention for stroke prevention in patients with carotid stenosis of all ages. However, the decision to proceed to operate in the elderly involves a more complicated risk-benefit assessment due in part to increased comorbidities and reduced life expectancy. Some studies suggest that CEA is more risky in the elderly with worse outcomes, whereas others have found no difference. Our objective was to evaluate and compare outcomes of CEA between elderly and younger patients at our institution. All hospital charts were reviewed for consecutive patients undergoing CEA from the Jewish General Hospital and the Royal Victoria Hospital from October 2009 to December 2015. Primary outcomes were ipsilateral stroke, death, and restenosis at 30 days and 1 year. Secondary outcomes were cranial nerve injury, myocardial infarction (MI), hematoma, wound infection, cerebral hyperperfusion, and transient ischemic attacks within 30 days. Primary and secondary outcomes were compared between patients aged ≥80 years and <80 years. A total of 361 patients were included in this study with a mean age of 70.2 ± 9.5 years (n = 247 [68.4%] male and n = 272 [75.8%] symptomatic). Elderly patients we...Continue Reading

Citations

Feb 10, 2021·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·A D PryamikovA I Khripun
Jul 6, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Yao FengLiqun Jiao

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carotid Artery Diseases

Carotid artery disease is a group of pathological conditions of the carotid artery. Discover the latest research on carotid artery disease here.

Related Papers

Stroke; a Journal of Cerebral Circulation
Waleed BrinjikjiGiuseppe Lanzino
Annals of Vascular Surgery
R L TreimanG S Treiman
International Angiology : a Journal of the International Union of Angiology
J MaroulisP L Harris
© 2022 Meta ULC. All rights reserved