Safety of carotid endarterectomy in 2,443 elderly patients: Lessons from nonagenarians - Are we pushing the limit?

Journal of the American College of Surgeons

Volumn 200, Issue 5, 2005, Pages 734-741

  Teso, Desarom ^a   Edwards, Randolph E ^a   Frattini, Jared C ^b   Dudrick, Stanley J ^a,b   Dardik, Alan ^a,b,c  

^a ST MARY S HOSPITAL   (United States)

^b YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c YALE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE DISTRIBUTION; AGED; ARTICLE; CAROTID ARTERY DISEASE; CAROTID ENDARTERECTOMY; CHI SQUARE TEST; COMPARATIVE STUDY; CONTROLLED STUDY; DATA BASE; FEMALE; GENERAL PRACTICE; HOSPITAL; HOSPITAL CHARGE; HUMAN; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; RISK ASSESSMENT; SAFETY; STATISTICAL SIGNIFICANCE; STROKE; SURGICAL MORTALITY; TRANSIENT ISCHEMIC ATTACK; UNITED STATES;

EID: 17644363333     PISSN: 10727515     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2004.12.012     Document Type: Article

References (32)

1. ACAS collaborators Executive Committee for the Asymptomatic Carotid Atherosclerosis Study Endarterectomy for asymptomatic carotid artery stenosis JAMA 273 1995 1421 1428
2. NASCET collaborators North American Symptomatic Carotid Endarterectomy Trial Collaborators Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis N Engl J Med 325 1991 445 453
3. D.A. Etzioni, J.H. Liu, J.B. O'Connell Elderly patients in surgical workloads a population-based analysis Am Surg 69 2003 961 965
4. G. Pruner, R. Castellano, A.M. Jannello Carotid endarterectomy in the octogenarian outcomes of 345 procedures performed from 1995-2000 Cardiovasc Surg 11 2003 105 112
5. A.C.W. Ting, D.C. Taylor, A.J. Salvian Carotid endarterectomy in octogenarians Cardiovasc Surg 8 2000 441 445
6. J.R. Schneider, J.S. Droste, N. Schindler, J.F. Golan Carotid endarterectomy in octogenarians comparison with patient characteristics and outcomes in younger patients J Vasc Surg 31 2000 927 935
7. J.G. Maxwell, A.J. Taylor, B.G. Maxwell Carotid endarterectomy in the community hospital in patients age 80 and older Ann Surg 231 2000 781 788
8. J.J. Hoballah, M.M. Nazzal, C. Jacobovicz, W.J. Sharp Entering the ninth decade is not a contraindication for carotid endarterectomy Angiology 49 1998 275 278
9. P.J. O'Hara, N.R. Hertzer, E.J. Mascha Carotid endarterectomy in octogenarians early results and late outcome J Vasc Surg 27 1998 860 869
10. rd, A.A. Salam Carotid endarterectomy in the octogenarian Ann Vasc Surg 8 1994 417 420
11. J.P. Favre, J.M. Guy, V. Frering Carotid surgery in the octogenarian Ann Vasc Surg 8 1994 421 426
12. B.A. Perler, A. Dardik, G.P. Burleyson Influence of age and hospital volume on the results of carotid endarterectomy a statewide analysis of 9918 cases J Vasc Surg 27 1998 25 33
13. D. Teso, R.E. Edwards, J.N. Antezana Do vascular surgeons improve outcome of carotid endarterectomy? An analysis of 12,618 elective cases in the state of Connecticut Vascular 12 2004 155 165
14. M.E. Charlson, P. Pompei, K.L. Ales, C.R. MacKenzie A new method of classifying prognostic comorbidity in longitudinal studies Development and validation J Chron Dis 40 1987 373 383
15. P.S. Romano, L.L. Roos, J.G. Jollis Adapting a clinical comorbidity index for use with ICD-9-CM administrative data Differing perspectives J Clin Epidemiol 46 1993 1075 1079
16. R. Bond, K. Rerkasem, P.M. Rothwell Systematic review of the risks of carotid endarterectomy in relation to the clinical indication for and timing of surgery Stroke 34 2003 2290 2301
17. D.S. Kucey, B. Bowyer, K. Iron Determinants of outcome after carotid endarterectomy J Vasc Surg 28 1998 1051 1058
18. J. Golledge, R. Cuming, D.K. Beattie Influence of patient-related variables on the outcome of carotid endarterectomy J Vasc Surg 24 1996 120 126
19. L.B. Goldstein, W.S. Moore, J.T. Robertson, S. Chaturvedi Complication rates for carotid endarterectomy. A call to action Stroke 28 1997 889 890
20. H.H. Eckstein, H. Schumacher, K. Klemm Emergency carotid endarterectomy Cerebrovasc Dis 9 1999 270 281
21. S. Alamowitch, M. Eliasziw, A. Algra Risk, causes and prevention of ischaemic stroke in elderly patients with symptomatic internal-carotid artery stenosis Lancet 357 2001 1154 1160
22. R.D. Schultz, A.V. Sterpetti, R.J. Feldhaus Carotid endarterectomy in octogenarians and nonagenarians Surg Gynecol Obstet 166 1988 245 251
23. C.B. Rockman, C. Cappadona, T.S. Riles Causes of the increased stroke rate after carotid endarterectomy in patients with previous strokes Ann Vasc Surg 11 1997 28 34
24. D.A. Axelrod, G.R. Upchurch Jr, S. DeMonner Perioperative cardiovascular risk stratification of patients with diabetes who undergo elective major vascular surgery J Vasc Surg 35 2002 894 901
25. A. Dardik, H.M. Bowman, T.A. Gordon Impact of race on the outcome of carotid endarterectomy a population-based analysis of 9,842 recent elective procedures Ann Surg 232 2000 704 709
26. W.H. Pearce, M.A. Parker, J. Feinglass The importance of surgeon volume and training in outcomes for vascular surgical procedures J Vasc Surg 29 1999 768 778
27. E.L. Hannan, A.J. Popp, P. Feustel Association of surgical specialty and processes of care with patient outcomes for carotid endarterectomy Stroke 32 2001 2890 2897
28. R.D. Cebul, R.J. Snow, R. Pine Indications, outcomes, and provider volumes for carotid endarterectomy JAMA 279 1998 1282 1287
29. D. Teso, J.C. Frattini, A. Dardik Improved outcomes of carotid endarterectomy the critical role of vascular surgeons Semin Vasc Surg 17 2004 214 218
30. G.S. Roubin, G. New, S.S. Iyer Immediate and late clinical outcomes of carotid artery stenting in patients with symptomatic and asymptomatic carotid artery stenosis a 5-year prospective analysis Circulation 103 2001 532 537
31. nd, C.R. Gomez, S. Iyer UAB Neurovascular Angioplasty Team Influence of age upon complications of carotid artery stenting J Endovasc Surg 6 1999 217 222
32. A. Kastrup, J.B. Schulz, S. Raygrotzki Comparison of angioplasty and stenting with cerebral protection versus endarterectomy for treatment of internal carotid artery stenosis in elderly patients J Vasc Surg 40 2004 945 951