Key result
In patients undergoing Fogarty catheter embolectomy, complications were significantly more frequent in those over 80 years old compared to those under 80 (58.3% vs 28.0%; p=0.02).
Why the study?
Does age over 80 years increase the risk of complications following Fogarty catheter embolectomy for peripheral arterial embolism?
Cohort (n=49)
Does age over 80 years increase the risk of complications following Fogarty catheter embolectomy for peripheral arterial embolism?
Absolute Event Rate: 58.3% vs 28%
p-value: p=0.02
Elderly patients (>80 years) undergoing embolectomy have a significantly higher rate of complications compared to younger patients, necessitating special perioperative care.
Octogenarians may warrant closer perioperative monitoring after embolectomy; this observational link leaves open whether age-specific protocols improve outcomes.
Although Fogarty catheter embolectomy has revolutionized the treatment of peripheral arterial embolism, significant morbidity and mortality may still follow this procedure. To examine the outcome of embolectomy in elderly patients, the authors reviewed 50 procedures in 49 patients; those less than eighty years old (25 patients, Group I) were compared with patients over that age (24 patients, Group II). Overall rates of recurrence, amputation, and death were 22%, 14%, and 10%, respectively. Cardiac disease was prevalent in both groups, although atrial fibrillation was more frequent in the older group (66.7% vs 24.0%, p = 0.002), and prior myocardial infarction was found more often in Group I (32.0% vs 8.3%, p=0.05). Complications were significantly more frequent in Group II than in Group I (58.3% vs 28.0 %; p = 0.02). Special attention to perioperative care is necessary in elderly patients undgergoing embolectomy to minimize complications.
No takes yet. Share an insight, caveat, or question.
Ricci et al. (1990) conducted a cohort in Peripheral arterial embolism (n=49). Age >80 years vs. Age <80 years was evaluated on Complications (p=0.02). In patients undergoing Fogarty catheter embolectomy, complications were significantly more frequent in those over 80 years old compared to those under 80 (58.3% vs 28.0%; p=0.02).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: