Stepwise age-related outcomes of elective endovascular abdominal aortic aneurysm repair: 11-Year institutional review

Mila H. Ju, Mark L. Keldahl, William H. Pearce, Mark D. Morasch, Heron E. Rodriguez, Melina R. Kibbe, Mark K. Eskandari*

*Corresponding author for this work

Research output: Contribution to journalReview article

6 Scopus citations

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 languageEnglish (US)
Pages (from-to)280-290
Number of pages11
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume23
Issue number4
DOIs
StatePublished - Dec 1 2011

Keywords

  • abdominal aortic aneurysm
  • elderly
  • endovascular aneurysm repair
  • outcomes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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