Acceptable Risk but Small Benefit of Endovascular Aneurysm Repair in Nonagenarians

Annals of Vascular Surgery

Volumn 24, Issue 4, 2010, Pages 441-446

  Jim, Jeffrey ^a   Sanchez, Luis A ^a   Sicard, Gregorio A ^a   Curci, John A ^a   Choi, Eric T ^a   Geraghty, Patrick J ^a   Flye, M Wayne ^a   Rubin, Brian G ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGE; AGED; ANEURYSM RUPTURE; ANEURYSM SURGERY; ARTICLE; CLINICAL ARTICLE; CLINICAL EVALUATION; CONTROLLED STUDY; DISEASE SEVERITY; ELDERLY CARE; ELECTIVE SURGERY; EMERGENCY SURGERY; ENDOLEAK; ENDOVASCULAR SURGERY; FEMALE; FEMOROFEMORAL BYPASS; HOSPITALIZATION; HUMAN; INTENSIVE CARE; LENGTH OF STAY; MALE; MEDICAL RECORD REVIEW; NONAGENARIAN; OUTCOME ASSESSMENT; PATIENT SAFETY; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; RISK BENEFIT ANALYSIS; RISK FACTOR; STENT; SURGICAL MORTALITY; SURGICAL RISK; SURVIVAL RATE; SYSTEMIC DISEASE; TEACHING HOSPITAL; VERY ELDERLY;

AGED, 80 AND OVER; AORTIC ANEURYSM, ABDOMINAL; BLOOD VESSEL PROSTHESIS; BLOOD VESSEL PROSTHESIS IMPLANTATION; FEMALE; HOSPITALS, UNIVERSITY; HUMANS; LENGTH OF STAY; MALE; MEDICAL FUTILITY; MISSOURI; PATIENT SELECTION; PROSTHESIS DESIGN; PROSTHESIS FAILURE; REOPERATION; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; STENTS; SURVIVAL ANALYSIS; TIME FACTORS; TREATMENT OUTCOME;

EID: 77951666354     PISSN: 08905096     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.avsg.2009.10.009     Document Type: Article

References (23)

1. U.S. Census Bureau, www.census.gov/population/www/projections/index.html (accessed July 1, 2009).
2. Brady A.R., Fowkes F.G.R., Greenhalgh R.M., et al. Risk factors for postoperative death following elective surgical repair of abdominal aortic aneurysm: results from the UK Small Aneurysm Trial. Br J Surg 87 (2000) 742-749
3. Parodi J.C., Palmaz J.C., and Barone H.D. Transfemoral intraluminal graft implantation for abdominal aortic aneurysm. Ann Vasc Surg 5 (1991) 491-499
4. Matsumura J.S., Brewster D.C., Makaroun M.S., et al. A multicenter controlled clinical trial of open versus endovascular treatment of abdominal aortic aneurysm. J Vasc Surg 37 (2003) 262-271
5. Greenhalgh R.M., Brown L.C., Kwong G.P., et al. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial. Lancet 364 (2004) 843-848
6. Prinssen M., Verhoeven E.L., Buth J., et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 351 (2004) 1607-1618
7. Hua H.T., Cambria R.P., Chuang S.K., et al. Early outcomes of endovascular versus open abdominal aortic aneurysm repair in the National Surgical Quality Improvement Program-Private Sector (NSQIP-PS). J Vasc Surg 41 (2005) 382-389
8. Bush R.L., Johnson M.L., Collins T.C., et al. Open versus endovascular abdominal aortic aneurysm repair in VA hospitals. J Am Coll Surg 202 (2006) 577-587
9. Sicard G.A., Rubin B.G., Sanchez L.A., et al. Endoluminal graft repair for abdominal aortic aneurysms in high-risk patients and octogenarians: is it better than open repair?. Ann Surg 234 (2001) 427-437
10. Lange C., Leurs L.J., Buth J., et al. Endovascular repair of abdominal aortic aneurysm in octogenarians: an analysis based on EUROSTAR data. J Vasc Surg 42 (2005) 624-629
11. Minor E.M., Ellozy S., Carroccio A., et al. Endovascular aortic aneurysm repair in the octogenarian. Is it worthwhile?. Arch Surg 139 (2004) 308-314
12. Chaikof E.L., Blankensteijn J.D., Harris P.L., et al. Reporting standards for endovascular aortic aneurysm repair. J Vasc Surg 35 (2002) 1048-1060
13. Nesi F., Leo E., Biancari F., et al. Preoperative risk stratification in patients undergoing elective infrarenal aortic aneurysm surgery: evaluation of five risk scoring methods. Eur J Vasc Endovasc Surg 28 (2004) 52-58
14. Biancari F., Hobo R., Juvonen T., et al. Glasgow aneurysm score predicts survival after endovascular stenting of abdominal aortic aneurysm in patients from EUROSTAR registry. Br J Surg 93 (2006) 191-194
15. EVAR Trial Participants. Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomized controlled trial. Lancet 365 (2005) 2187-2192
16. Sicard G.A., Zwolak R.M., Sidawy A.N., et al. Endovascular abdominal aortic aneurysm repair: long-term outcome measures in patients at high risk for open surgery. J Vasc Surg 44 (2006) 229-236
17. Henebiens M., Vahl A., and Koelemay M.J.W. Elective surgery of abdominal aortic aneurysms in octogenarians: a systematic review. J Vasc Surg 47 (2008) 676-681
18. Baril D.T., Palchik E., Carroccio A., et al. Experience with endovascular abdominal aortic aneurysm repair in nonagenarians. J Endovasc Ther 13 (2006) 330-337
19. Halpern J.A., Goldstein L.J., Rezayat C., et al. Endovascular aneurysm repair (EVAR) in nonagenarians is safe and effective. J Vasc Surg 49 (2009) 32S
20. National Vitals Statistics System, www.cdc.gov/nchs/death.htm (accessed July 1, 2009).
21. Szilagyi D.E., Elliot J.P., and Smith R.F. Clinical fate of the patient with asymptomatic abdominal aortic aneurysm and unfit for surgical treatment. Arch Surg 104 (1972) 600-606
22. Jones A., Cahill D., and Gardham R. Outcome in patients with large abdominal aortic aneurysms considered unfit for surgery. Br J Surg 85 (1998) 1382-1384
23. Conway K.P., Byrne J., Townsend M., et al. Prognosis of patients turned down for conventional abdominal aortic aneurysm repair in the endovascular and sonographic era: Szilagyi revisted?. J Vasc Surg 33 (2001) 752-757