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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


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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.

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