title: [Endovascular repair of aortic abdominal aneurysms in octagenarian patients: early and midterm results].
abstract: OBJECTIVE
  This article summarizes our experience in endovascular repair of abdominal aortic aneurysm in octogenarian patients.
  
  
  METHODS
  From January 2000 to December 2005 30 patients (mean age 84 years) underwent endovascular repair of abdominal aortic aneurysm; in 28 cases a loco-regional anaesthesia has been performed. Twenty-eight bifurcated graft, one straight graft and one aorto-iliac graft have been used.
  
  
  RESULTS
  No operative mortality or early endoleak have been observed; during the follow-up period (20 months) 7 endo-leaks (3 cases type I; 4 cases type II) have been reported; all patients with type I EL underwent endovascular repair; in two patients with type II EL we observed spontaneous regression; the other cases are still monitored in absence of sac enlargement. Four graft occlusions have been observed; one early thrombosis has been treated with surgical thrombectomy, two of the three late occlusions required other procedures. Five patients died during the follow-up period, three of them during the first year. No death has been aneurysm related.
  
  
  CONCLUSIONS
  In accord with other recent studies, our analysis confirms the positive impact on intra-operative and early post-procedural mortality of the endovascular therapy for abdominal aortic aneurysm in octogenarian patients; no evidence of significative benefit on late survival has been observed.
  
  
  CONCLUSIONS
  In conclusion we consider endovascular option as the best approach in octogenarian patients even if a longer follow-up is mandatory.
authors.affiliation: Unità operativa di Chirurgia Vascolare, IRCCS Policlinico San Donato-Università degli Studi di Milano. giovanni.nano@libero.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Nano
authors.forename: Paolo
authors.initials: P
authors.lastname: Bianchi
authors.forename: Silvia
authors.initials: S
authors.lastname: Stegher
authors.forename: Giovanni
authors.initials: G
authors.lastname: Malacrida
authors.forename: Massimo
authors.initials: M
authors.lastname: Cazzaniga
authors.forename: Santi
authors.initials: S
authors.lastname: Trimarchi
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Rampoldi
authors.forename: Domenico G
authors.initials: DG
authors.lastname: Tealdi
mesh_terms: D000369:Aged, 80 and over; D017130:Angioplasty / Q000379:methods*; D017544:Aortic Aneurysm, Abdominal / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D016019:Survival Analysis; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures