[Endovascular repair of aortic abdominal aneurysms in octagenarian patients: early and midterm results].
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.
Nano
Giovanni
G
Unità operativa di Chirurgia Vascolare, IRCCS Policlinico San Donato-Università degli Studi di Milano. giovanni.nano@libero.it
Bianchi
Paolo
P
Stegher
Silvia
S
Malacrida
Giovanni
G
Cazzaniga
Massimo
M
Trimarchi
Santi
S
Rampoldi
Vincenzo
V
Tealdi
Domenico G
DG
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