Document Detail


Endovascular abdominal aortic aneurysm repair in nonagenarians--beyond limits?
MedLine Citation:
PMID:  19693313     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Herein, we report a single institution's experience with endovascular abdominal aortic aneurysm repair in nonagenarians, over a 4-year period of time. We performed a retrospective study of cases, in which we documented patient demographics, symptoms, physical findings, surgical interventions, complications, and deaths. The survivors answered a questionnaire. Endovascular abdominal aneurysm repair was performed in 4 male nonagenarians (age range, 90-92 yr): 2 underwent repair of asymptomatic aneurysm and 2 underwent repair of symptomatic aneurysm. There was no in-hospital death, and patients were discharged after a median time of 11 days. Both patients with symptomatic abdominal aortic aneurysm died within 30 days, 1 of an occluded left femoral artery and the other of unknown cause. After follow-ups of 6 and 54 months, both survivors were in good physical condition and patient satisfaction appeared to be very high. We have shown that elective endovascular abdominal aneurysm repair in a small, selected group of nonagenarians was feasible and afforded acceptable short-term survival. In patients with symptomatic disease, however, the early postprocedural mortality rate appears to be high. Decision-making should focus chiefly on comorbidities, on subjective issues such as fear of rupture, and on ethical and financial considerations.
Authors:
Marguerite F Bouwmeester; Steven M M van Sterkenburg; Clark J Zeebregts; Willem R de Vries; Michel M P J Reijnen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  36     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2009  
Date Detail:
Created Date:  2009-08-20     Completed Date:  2009-10-29     Revised Date:  2013-05-31    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  345-8     Citation Subset:  IM    
Affiliation:
Department of Surgery, Division of Vascular Surgery, Alysis Zorggroep, Location Rijnstate, 6815 AD Arnhem, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged, 80 and over
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis Implantation* / adverse effects
Fatal Outcome
Humans
Male
Patient Satisfaction
Patient Selection
Surgical Procedures, Elective
Time Factors
Treatment Outcome
Comments/Corrections
Comment In:
Tex Heart Inst J. 2009;36(6):632   [PMID:  20069102 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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