Vascular Surgery and Geriatric Patients.
| Autor: | Halandras PM; Department of Vascular Surgery and Endovascular Surgery, Loyola University Chicago, Stritch School of Medicine, 2160 South First Avenue, EMS Building 110, Room 3220, Maywood, IL 60153, USA. Electronic address: phalandras@lumc.edu. |
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| Jazyk: | angličtina |
| Zdroj: | Clinics in geriatric medicine [Clin Geriatr Med] 2019 Feb; Vol. 35 (1), pp. 93-101. Date of Electronic Publication: 2018 Oct 11. |
| DOI: | 10.1016/j.cger.2018.08.008 |
| Abstrakt: | As the population ages, surgical decision-making in vascular surgery has become more complex. Older patients may not have been offered vascular surgical intervention in the past because of prohibitive physiologic demands and poor health. Patients now have more aggressive management of vascular risk factors with medications, such as statin therapy, and less invasive endovascular or hybrid treatment options. Outcomes in elderly patients may not be comparable with younger patients for entities such as aortic aneurysm repair, carotid endarterectomy, or lower extremity revascularization. Despite this, desirable outcomes can be successfully achieved and should be offered to carefully selected elderly individuals. (Copyright © 2018 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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