Carotid endarterectomy in the octogenarian: Outcomes of 345 procedures performed from 1995-2000

G. Pruner, R. Castellano, A. M. Jannello, D. Astore, E. Civilini, Germano Melissano, R. Chiesa

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this study is to evaluate the efficacy and the safety of carotid endarterectomy (CEA) in the octogenarian patient. From January 1995 to December 2000, we have performed 3430 CEAs in 2743 patients: 345 CEAs in 269 octogenarian patients (Group 1) and 3085 CEAs in 2474 younger patients (Group 2). Age was the only selection criteria for including patients in Group 1. Octogenarians' perioperative mortality (1.4%) was greater than that in Group 2 (0.3%) (p0.05). The octogenarians' Kaplan-Meier 6-year overall and free-stroke survival rates were 86 and 76% respectively. CEA can be performed in selected octogenarian patients with low early and late mortality and neurologic morbidity rates.

Original languageEnglish
Pages (from-to)105-112
Number of pages8
JournalCardiovascular Surgery
Volume11
Issue number2
DOIs
Publication statusPublished - Apr 2003

Keywords

  • Carotid endarterectomy
  • Elderly
  • Octogenarian
  • Stroke prevention

ASJC Scopus subject areas

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

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