NDLI: Endovascular repair of the thoracic aorta in octogenarians.

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Endovascular repair of the thoracic aorta in octogenarians.

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Year: 2005 Volume: 28

Endovascular repair of the thoracic aorta in octogenarians.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kpodonu, Jacques Preventza, Ourania Ramaiah, Venkatesh G. Shennib, Hani Wheatley, Grayson H. Rodriquez-Lopez, Julio A. Williams, James Diethrich, Edward B.
Description	Country affiliation: United States Author Affiliation: Kpodonu J ( Arizona Heart Institute, Department of Cardiovascular and Endovascular Surgery, Phoenix, AZ, USA. jkpodonu@yahoo.com)
Abstract	BACKGROUND: To evaluate the feasibility and safety of thoracic endografting in the octogenarian population. METHODS: Between February 2000 and August 2005, 249 patients with a mean age of 69+/-12.3 years (range 23-91) underwent thoracic endografting. Forty-four patients (27 males and 17 females) were octogenarians with a mean age of 84+/-2.7 years. Indications for intervention included: atherosclerotic aneurysms (26/44, 59%), acute and chronic dissections (9/44, 20.5%), penetrating aortic ulcers (6/44, 14%) and contained rupture (3/44, 7%). RESULTS: Endovascular repair was achieved in all octogenarian patients (44/44, 100%). Mean length of stay was 4.7+/-3.6 days. Two cardiac-related deaths and 1 retrograde dissection death occurred (3/44, 7%). Complications included hemiparesis (n=2) with full recovery at discharge, groin hematoma (n=1), pneumonia (n=2) and stroke (n=1) [6/44, 11%]. Endoleaks were diagnosed in 3 patients [3/44, 7%] (2 type I, 1 type II) at 30-day follow-up. Two patients developed an endoleak beyond 30 days [2/44, 5%] (1 type I, 1 type II). Two re-interventions were necessary at 30 days (1 type I, 1 type II). Mean follow-up was 22 months and there were no device migrations or aortic ruptures. No statistical differences in overall mortality were noted between octogenarians and non-octogenarians at 30 days (7% vs 6%, p=NS), 12 months (18% vs 13%, p=NS) and 24 months (27% vs 15%, p=NS). However, at 5 years post-procedure, octogenarians had a significantly higher overall mortality than non-octogenarians (32% vs 17%, p=0.038). CONCLUSIONS: Advanced age is not a contraindication to thoracic endografting with favorable short and mid-term outcomes compared to non-octogenarians.
File Format	HTM / HTML
ISSN	10107940
e-ISSN	1873734X
Journal	European Journal of Cardio-Thoracic Surgery
Issue Number	3
Volume Number	34
Language	English
Publisher	Oxford University Press
Publisher Date	2008-09-01
Publisher Place	Germany
Access Restriction	Open
Subject Keyword	Discipline Cardiology__semicolon__surgery Aorta, Thoracic Surgery Aortic Diseases Blood Vessel Prosthesis Implantation Minimally Invasive Surgical Procedures Aneurysm, Dissecting Aortic Aneurysm, Thoracic Blood Vessel Prosthesis Adverse Effects Epidemiologic Methods Stents Evaluation Studies
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine Surgery Cardiology and Cardiovascular Medicine

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