| Carotid endarterectomy in octogenarian veterans: does age affect outcome? A single-center experience. | |
| | |
MedLine Citation:
|
PMID: 16226960 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The efficacy of carotid endarterectomy (CEA) in octogenarians is controversial. Recent reports have examined this question in the general population, but little data exist on veterans. With the emergence of carotid artery stenting, we need to evaluate the role of CEA in treating elderly veterans with carotid stenosis. METHODS: Retrospective chart review of all CEAs performed between January 1995 and December 2004. RESULTS: A total of 286 procedures were performed in 239 patients; 39 procedures were performed in 33 octogenarians, and 247 procedures were performed in 206 younger veterans. Both groups had similar preoperative comorbidities. There were no statistically significant differences between octogenarians and younger veterans for postoperative stroke (2% vs. 1%), death (0% vs. 1%), myocardial infarction (5% vs. 2%), length of stay (7 +/- 19 vs. 3 +/- 8 days), or 4-year survival (53% vs. 57%). CONCLUSIONS: CEA can be safely performed in octogenarian veterans with outcomes similar to younger veterans. |
| | |
Authors:
|
David Lau; Kenneth Granke; Ronke Olabisi; Marc D Basson; Agelikie Vouyouka |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: American journal of surgery Volume: 190 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 2005 Nov |
Date Detail:
|
Created Date: 2005-10-17 Completed Date: 2005-11-15 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 795-9 Citation Subset: AIM; IM |
Affiliation:
|
Division of Vascular Surgery, Wayne State University, Detroit MI, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Age Factors Aged Aged, 80 and over* Angiography Carotid Stenosis / radiography, surgery*, ultrasonography Colorado / epidemiology Endarterectomy, Carotid* / adverse effects, statistics & numerical data Follow-Up Studies Hospitals, Veterans Humans Incidence Length of Stay Male Postoperative Complications / epidemiology Retrospective Studies Risk Factors Survival Rate Treatment Outcome Ultrasonography, Doppler, Duplex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Secondary interventions after endovascular abdominal aortic aneurysm repair.
Next Document: Mesenteric lymph duct ligation decreases red blood cell alterations caused by acute pancreatitis.