Single-center Study Comparing Short and Mid-Term Results of EVAR in Old and Young Populations

Autor: Osman Tiryakioglu, Mihriban Yalcin
Rok vydání: 2019
Předmět:
Male
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty
medicine.medical_treatment
Technical success
lcsh:Surgery
Mid term results
Coronary Artery Disease
030204 cardiovascular system & hematology
Single Center
Abdominal Aortic Aneurysm
Endovascular aneurysm repair
Geriatry
Conversion to open surgery
Peripheral Arterial Disease
Pulmonary Disease
Chronic Obstructive
03 medical and health sciences
Age Distribution
0302 clinical medicine
Aneurysm
Age groups
Reference Values
Humans
Medicine
Endovascular Aneurysm Repair
Renal Insufficiency
Chronic
Sex Distribution
Aged
Retrospective Studies
Aged
80 and over
business.industry
Endovascular Procedures
Operative mortality
Age Factors
lcsh:RD1-811
General Medicine
Middle Aged
medicine.disease
Surgery
Treatment Outcome
lcsh:RC666-701
Original Article
Female
Cardiology and Cardiovascular Medicine
business
Aortic Aneurysm
Abdominal
Follow-Up Studies
Zdroj: Brazilian Journal of Cardiovascular Surgery, Vol 34, Iss 3, Pp 279-284
Brazilian Journal of Cardiovascular Surgery v.34 n.3 2019
Brazilian Journal of Cardiovascular Surgery
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
Brazilian Journal of Cardiovascular Surgery, Volume: 34, Issue: 3, Pages: 279-284, Published: 22 JUL 2019
ISSN: 1678-9741
Popis: Objective: The purpose of this study was to compare the operative mortality rate and outcomes of endovascular aneurysm repair (EVAR) between young and geriatric people in a single center. Methods: Eighty-five patients with abdominal aortic aneurysms who underwent EVAR between January 2012 and September 2016 were included. Outcomes were compared between two groups: the young (aged < 65 years) and the geriatric (aged ≥ 65 years). The primary study outcome was technical success; the secondary endpoints were mortality and secondary interventions. The mean follow-up time was 36 months (3-60 months). Results: The study included 72 males and 13 females with a mean age of 71.08±8.6 years (range 49-85 years). Of the 85 patients analyzed, 18 (21.2%) were under 65 years old and 67 patients (78.8%) were over 65 years old. There was no statistically significant correlation between chronic disease and age. We found no statistically significant difference between aneurysm diameter, neck angle, neck length, or right and left iliac angles. The secondary intervention rate was 7% (six patients). The conversion to open surgery was necessary for only one patient and only three deaths were reported (3.5%). There was no statistically significant difference in the mortality and reintervention rates between the age groups. The three deaths occurred only in the geriatric group and two died secondary to rupture. Kidney failure was observed in three patients in the geriatric group (4.5%). Conclusion: Our single-center experience shows that EVAR can be used safely in both young and geriatric patients.
Databáze: OpenAIRE
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