Abstract
Objective. Endovascular repair of abdominal aortic aneurysms (EVAR) has largely supplanted open surgery over the past 2 decades. Faced with an aging population, the outcomes of EVAR among various age groups were examined. Method. Retrospective review of elective EVAR cases was performed at a single institution from 1998 to 2009. Patients were separated into 4 age groups for easy comparison. Perioperative data were analyzed using Fisher's exact test. Results. Demographics were similar among the groups except for sex, BMI, and smoking status. The 30-day morbidity and mortality data were not statistically different among groups. From EVAR to end of the study, there was a 10.9% all-cause mortality rate (with no difference among groups) and an 8.0% reintervention rate (with the oldest age group having a lower reintervention rate; P <.03). Conclusions. EVAR remains a good treatment option for elective aneurysm repair despite advanced age, which alone does not appear to be an independent predictor of outcome.
Original language | English (US) |
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Pages (from-to) | 280-290 |
Number of pages | 11 |
Journal | Perspectives in vascular surgery and endovascular therapy |
Volume | 23 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2011 |
Keywords
- abdominal aortic aneurysm
- elderly
- endovascular aneurysm repair
- outcomes
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Surgery