[Surgical treatment of abdominal aortic aneurysms in octogenarians].
OBJECTIVE
To evaluate the open surgery as well as the endovascular treatment of abdominal aortic aneurysms (AAA) in octogenarians.


METHODS
Twenty AAA cases aging from 80 to 90 in the past six years were reviewed. Open surgery on 12 patients and endovascular repair on the other 8 ones were performed.


RESULTS
During peri-operation, there were 2 mortality from the surgical group among all 20 cases. The endovascular group underwent significantly better operational procedure and complication situation than the surgical one. Eighteen cases were followed up for 3-69 months (average months) except for 2 patients of surgical group. Both group suffered 2 late mortality. The accumulated survival rate were 6/10 in the surgical group and 6/8 in the endovascular group, respectively.


CONCLUSIONS
Surgical treatment in applicable for octogenarians with AAA. The endovascular repair was preferable to suitable cases.
Shi
Zhen-yu
ZY
Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Fu
Wei-guo
WG
Wang
Yu-qi
YQ
Guo
Da-qiao
DQ
Chen
Fu-zhen
FZ
Ye
Jian-rong
JR
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods* / Q000401:mortality; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D015607:Stents; D015996:Survival Rate; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods* / Q000401:mortality