Home > Riviste > The Journal of Cardiovascular Surgery > Fascicoli precedenti > The Journal of Cardiovascular Surgery 2001 June;42(3) > The Journal of Cardiovascular Surgery 2001 June;42(3):375-9

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti

THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,179


eTOC

 

ORIGINAL ARTICLES  VASCULAR SECTION


The Journal of Cardiovascular Surgery 2001 June;42(3):375-9

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Is arterial surgery advisable for patients over 80 years of age?

Matsubara J., Sakamoto S., Shikata H., Hida K., Kobayashi M., Kobata T., Kurose K.

From the Thoracic and Cardiovascular Surgery Kanazawa Medical University, Ishikawa, Japan


PDF  


Back­ground. ­Recently ­life expec­tancy has ­become ­longer and ­longer. The pur­pose of ­this ­study was to ana­lyse ­whether arte­rial sur­gery for ­patients ­over 80 ­years of age is advis­able.
­Methods. ­During the ­last 14 ­years, 527 ­patients, 50 of ­whom ­were ­over 80 and 477 of ­whom ­were ­under 80 ­years of age, ­received ­graft replace­ment or ­bypass sur­gery. ­They suf­fered ­from rup­tured abdom­inal ­aortic aneu­rysm (R-AAA, n=21), non-rup­tured abdom­inal ­aortic aneu­rysm (N-R AAA, n=133) or arte­rio­scle­rosis oblit­e­rans (ASO, n=373). Com­pli­ca­tions ­such as cereb­ro­vas­cular dis­ease, ­ischemic ­heart dis­ease, res­pir­a­tory and ­kidney dys­func­tion, and ­risk fac­tors for ASO ­were ­also ­checked.
­Results. All of the ­patients ­over 80 ­with R-AAA (n=3/3) and 50% of the ­patients ­under 80 ­with R-AAA (n=9/18) ­died ­during ­their ­stay in the hos­pital. How­ever, ­none of the N-R AAA ­patients ­over 80 (n=0/7) and ­only one of the 126 N-R AAA ­patients (0.8%) ­under 80 ­died. For the ­patients ­over 80 ­with ASO, the ­graft ­patency ­rate was ­better ­than the ­patients’ sur­vival ­rate. ­There ­were no age-­specific fac­tors ­that ­should con­demn arte­rial sur­gery for ­patients ­over 80 ­years of age.
Con­clu­sions. Arte­rial sur­gery ­should not be ­ruled out on the ­basis of age ­alone.

inizio pagina

Publication History

Per citare questo articolo

Corresponding author e-mail