Abdominal aortic aneurysm repair in octogenarians: outcomes and predictors.
OBJECTIVE
This study was undertaken to evaluate predictors and outcomes of octogenarians who underwent abdominal aortic aneurysm repair.


METHODS
A prospective observational study.


METHODS
Between January 1st, 1997 and April 15th, 2005, 31 octogenarians were admitted to our Department with the diagnosis of abdominal aortic aneurysm. Mean follow-up time was 53.7+/-27.2 months. All patients were in good clinical condition and represented a selected healthy group of octogenarians.


RESULTS
The overall perioperative (30-days) mortality rate was 3.1%. The total in-hospital morbidity rate was 22.6%. Overall survival estimates at 48 and 96 months were 81+/-8% and 46+/-21%, respectively. The actuarial freedom from aneurysm-related death at 48 and 96 months was 96+/-4% and 96+/-4%, respectively. The actuarial freedom from aneurysm-unrelated death at 48 and 96 months was 84+/-7% and 48+/-21%. Only coronary artery disease was a significant predictor of survival using multivariate stepwise logistic regression analysis.


CONCLUSIONS
In this series, AAA surgery was carried out in selected octogenarians without affecting long-term survival.
Dainese
L
L
Department of Cardiovascular Surgery, Centro Cardiologico Monzino, University of Milan, Via Parea 4, 20138 Milan, Italy. fabarili@libero.it
Barili
F
F
Spirito
R
R
Topkara
V K
VK
Pompilio
G
G
Trezzi
M
M
Polvani
G
G
Biglioli
P
P
D000206:Actuarial Analysis; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012044:Regression Analysis; D015996:Survival Rate; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects