Carcano, G.

Castelli, Patrizio

Lomazzi, C.

Piffaretti, G.

Tozzi, Matteo

BMC Geriatrics

TOZZI, MATTEO

CASTELLI, PATRIZIO

Archivio istituzionale della ricerca - Università dell'Insubria

BioMed CentralPage 1 of 1(page number not for citation purposes)BMC GeriatricsOpen AccessMeeting abstractEndovascular repair of abdominal aortic aneurysms in octogenariansChiara Lomazzi*, Giulio Carcano, Gabriele Piffaretti, Matteo Tozzi and Patrizio CastelliAddress: Department of Surgical Sciences, University of Insubria, Varese, Italy* Corresponding author    IntroductionEndovascular aortic aneurysm repair has emerged as anappealing alternative particularly for patients consideredat "high risk" for open surgery. The aim of this study wasto investigate the results of endovascular treatment inpatients aged >80 years compared with younger patients.MethodsBetween March 1998 and March 2008, 35 patients out ofa group of 235 (14.9%) were treated for abdominal aorticaneurysm with endovascular endograft at our Institution;a retrospective analysis, about preoperative, operative andfollow-up data were performed. Comparison was madewith 200 patients aged <80 years.ResultsOctogenarians more frequently had impaired renal func-tion (P = .05). We did not observe intraoperative mortal-ity; the 30-day mortality rate was 8.5% (3/35) vs 1.5% (3/200) in the younger group (P = .03). The early complica-tions were higher in aged patients 25.7% vs 13.5% (P =.006), as was the length of stay 7.7 ± 5.6 vs 5.7 ± 4 days (P= .05). The follow-up period was shorter in octogenarians(17 ± 15 vs 26 ± 24 months, P = .004). The endoleak inci-dence was higher in older patients: 48.5% vs 24.5% (P =.003), and also appeared earlier during the follow-up (6.3± 7 vs 9.5 ± 12 months P = .03). No significant differencewas noted about the type of endoleak in the two groups.Mortality during the follow-up was 37.1% in the octoge-narians group vs 16% in the younger group (P = .003). Inthe elderly group, 2 patients (6.2%) died for device-related complication.ConclusionIn the present experience, the mortality, morbidity andcomplication rates were higher in the elderly group. Inaddition, the endoleak rate and the appearance time werestatistically different, higher and earlier in the octogenari-ans. We believe that accurate patient selection and evalu-ation of life expectancy, quality of life related withprocedural risk should be mandated to offer a safer andmore efficaceous endovascular repair to elderly patients.from XXI Annual Meeting of The Italian Society of Geriatric SurgeryTerni, Italy. 4–6 December 2008Published: 1 April 2009BMC Geriatrics 2009, 9(Suppl 1):A71 doi:10.1186/1471-2318-9-S1-A71<supplement> <title> <p>XXI Annual Meeting of The Italian Society of Geriatric Surgery</p> </title> <editor>Francesco Sciannameo, Giammario Giustozzi and Beatrice Sensi</editor> <sponsor> <note>Publication of this supplement was made possible with support from the Fondazione Cassa di Risparmio di Terni e Narni</note> </sponsor> <note>Meeting abstracts – A single PDF containing all abstracts in this Supplement is available <a href="http://www.biomedcentral.com/content/files/pdf/1471-2318-9-S1-full.pdf">here</a>.</note> <url>http://www.biomedcentral.com/content/pdf/1471-2318-9-S1-info.pdf</url> </supplement>This abstract is available from: http://www.biomedcentral.com/1471-2318/9/S1/A71© 2009 Lomazzi et al; licensee BioMed Central Ltd. 

Endovascular repair of abdominal aortic aneurysms in octogenarians

Endovascular repair of abdominal aortic aneurysms in octogenarians

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Archivio istituzionale della ricerca - Università dell'Insubria