Why the study?
Is open abdominal aortic aneurysm surgery safe for octogenarians compared to younger patients?
Is open abdominal aortic aneurysm surgery safe for octogenarians compared to younger patients?
Open AAA surgery in fit octogenarians (ASA score <3) carries an acceptable peri-operative mortality risk of under 4%, suggesting age alone should not preclude surgical intervention when endovascular repair is unsuitable.
Answers are grounded in this paper and cite their sources.
Fit octogenarians had acceptable open AAA mortality; leaves open whether age alone contraindicates repair in observational data.
BACKGROUND: Abdominal aortic aneurysm (AAA) is an important cause of mortality for the aged, a group that has been denied surgery in the past for fear of peri-operative mortality. Is this attitude still justified? METHODS: Analysis of prospectively gathered data from a vascular database. RESULTS: 10.9% of all open AAA operations were in patients older than 79 years with an 8% mortality rate compared to 3% for younger patients. For fit elderly patients with ASA scores less than 3, mortality was just under 4%. Renal failure and wound dehiscence were more common in the elderly. CONCLUSION: When endovascular repair is not possible in a fit elderly patient, open surgery can be performed with acceptable results.
No takes yet. Share an insight, caveat, or question.
Thomson et al. (2009) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: