[What treatment expectations does the elderly patient have from surgery and what can surgery achieve? From the viewpoint of vascular surgery].
Vascular surgery represents 70% of surgery in over 60-year-old patients and 50% in over 70-year-old patients. For prophylactic reasons indications for operating should be made carefully in carotid and aneurysm surgery. In the case of chronic aorto iliacal obstructions extraanatomic procedures like femoro-femoral, ilio-femoral or axillo-femoral reconstruction should be preferred in high-risk patients. Combined intraoperative interventional procedures or percutaneous transluminal angioplasty including regional thrombolysis should be considered in the elderly.
Rühland
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Hegau-Klinikum Singen, Chirurgische Klinik.
D000368:Aged; D000369:Aged, 80 and over; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D005260:Female; D015577:Geriatric Assessment; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D011788:Quality of Life; D015996:Survival Rate
Welchen Behandlungswunsch hat der Patient in höherem Lebensalter an die Chirurgie und was kann die Chirurgie leisten? Aus der Sicht der Gefässchirurgie.