Abdominal Aortic Aneurysm Repair in Octogenarians: Outcomes and Predictors

L. Dainese, F. Barili, R. Spirito, V. K. Topkara, G. Pompilio, M. Trezzi, G. Polvani, P. Biglioli

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Abstract

Objectives: This study was undertaken to evaluate predictors and outcomes of octogenarians who underwent abdominal aortic aneurysm repair. Design: A prospective observational study. Materials and methods: Between January 1st, 1997 and April 15th, 2005, 31 octogenarians were admitted to our Department with the diagnosis of abdominal aortic aneurysm. Mean follow-up time was 53.7±27.2 months. All patients were in good clinical condition and represented a selected healthy group of octogenarians. Results: The overall perioperative (30-days) mortality rate was 3.1%. The total in-hospital morbidity rate was 22.6%. Overall survival estimates at 48 and 96 months were 81±8% and 46±21%, respectively. The actuarial freedom from aneurysm-related death at 48 and 96 months was 96±4% and 96±4%, respectively. The actuarial freedom from aneurysm-unrelated death at 48 and 96 months was 84±7% and 48±21%. Only coronary artery disease was a significant predictor of survival using multivariate stepwise logistic regression analysis. Conclusions: In this series, AAA surgery was carried out in selected octogenarians without affecting long-term survival.

Original languageEnglish
Pages (from-to)464-469
Number of pages6
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume31
Issue number5
DOIs
Publication statusPublished - May 2006

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Keywords

  • Aortic aneurysm, abdominal
  • Follow-up studies
  • Octogenarians
  • Surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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