Complications after peripheral vascular interventions in octogenarians

Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists
Petra DickMartin Schillinger

Abstract

To investigate the incidence of complications after peripheral vascular interventions in patients aged 80 years and older compared to patients below the age of 80. During a 20-month period, 619 consecutive patients (354 men; mean age 67 years, range 59-87) undergoing balloon angioplasty and stenting for lower limb revascularization were enrolled in the study. The incidence of procedure-related, access-site, and major complications within 30 days post intervention were recorded and compared between patients aged 80 years and older (n=72, 11.6%) and those under 80 years of age. Complication rates were significantly higher in octogenarians compared to patients below 80 years, including the rates of overall complications (18.1% versus 8.5%, p=0.010), major complications (11.1% versus 1.8%, p<0.001), all access site complications (12.5% versus 4.9%, p=0.009), and access site bleeding complications (12.5% versus 2.2%, p<0.001). By multivariable analysis, octogenarians had a 2.49-fold increased adjusted risk (95% CI 1.10 to 5.65, p=0.029) for any postintervention complication and a 10.99-fold increased adjusted risk (95% CI 2.76 to 45.74, p=0.001) for major complications compared to patients below 80 years. No specific risk factor for...Continue Reading

References

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Citations

Jun 9, 2009·Clinical Interventions in Aging·Konstantinos KatsanosAndreas Adam
Sep 10, 2014·Annals of Vascular Surgery·Douglas W JonesAndrew J Meltzer
Jun 22, 2012·Annals of Vascular Surgery·Natalie DomenickRabih A Chaer
Oct 12, 2010·Annals of Vascular Surgery·Ville K KoskelaVelipekka Suominen
Mar 17, 2016·Wiener klinische Wochenschrift·Georgiana-Aura GiurgeaWolfgang Mlekusch
Jul 28, 2009·Journal of Vascular Surgery·Hasan H DosluogluMaciej L Dryjski
Aug 20, 2014·Journal of Vascular Surgery·Raphaël CoscasMarc Coggia
Aug 6, 2019·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Stavros SpiliopoulosElias Brountzos
Jun 6, 2017·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Christian UhlUNKNOWN The CRITISCH collaborators
Mar 6, 2021·Current Cardiology Reports·E Hope WeisslerRajesh V Swaminathan

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