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INTERNATIONAL ANGIOLOGY

Rivista di Angiologia


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2003 December;22(4):421-5

Copyright © 2003 EDIZIONI MINERVA MEDICA

lingua: Inglese

Patient characteristics, operative complications and long-term survival of patients aged 75 years or older subjected to carotid endarterectomy

Aune S., Laxdal E., Pedersen G., Dregelid E.

Department of Surgery, Haukeland University Hospital, Bergen, Norway


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Aim. The aim of this study is to ­report risk fac­tors, oper­a­tive ­results and long-term sur­vi­val of old ­patients oper­at­ed on for carot­id sten­o­sis in order to eval­u­ate their can­di­da­ture for sur­gery.
Meth­ods. Fifty-two ­patients aged 75 years or older sub­ject­ed to 56 carot­id endar­te­rec­to­mies per­formed dur­ing the years 1992 to 2001 were exam­ined and com­pared to data con­cern­ing 161 young­er ­patients (172 oper­a­tions) oper­at­ed dur­ing the same peri­od.
­Results. Pre­op­er­a­tive­ly reg­is­tered hyper­ten­sion, car­diac dis­ease, renal impair­ment, dia­betes mel­lit­us, cereb­ro­vas­cu­lar symp­toms and involve­ment of the con­tra­lat­er­al carot­id ­artery dis­trib­ut­ed sim­i­lar­ly among the old and young ­patients. The older ­patients suf­fered an oper­a­tive com­bined ­stroke and mor­tal­ity rate non-sig­nif­i­cant­ly high­er than the young­er. The older ­patients expe­ri­enced a 3-year sur­vi­val rate of 92%. This was sig­nif­i­cant­ly super­i­or to that of a dem­o­graph­i­cal­ly ­matched pop­u­la­tion, and sim­i­lar to the sur­vi­val of the young­er ­patients. The young­er ­patients had a sur­vi­val rate sig­nif­i­cant­ly infe­ri­or to the expect­ed.
Con­clu­sion. ­Patients aged 75 years or older oper­at­ed on for carot­id sten­o­sis ­appear to have sim­i­lar pre­op­er­a­tive char­ac­ter­is­tics, sim­i­lar early oper­a­tive com­pli­ca­tion rates and a sig­nif­i­cant­ly bet­ter long-term rel­a­tive sur­vi­val, as com­pared to young­er ­patients going ­through carot­id endar­te­rec­to­my.

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