title: Outcome of elective treatment of abdominal aortic aneurysm in elderly patients.
abstract: BACKGROUND
  Optimal management of an abdominal aortic aneurysm (AAA) in the elderly is not straightforward. We evaluated treatment results of elderly patients with asymptomatic abdominal aortic aneurysm that met the treatment criteria in our clinic.
  
  
  METHODS
  Hospital charts between January 2005-December 2012 were reviewed of all patients 70 years and older diagnosed with AAA with a diameter that met the treatment criteria. Patients were stratified by age (group I: 70-79 years, group II: 80 years or older) and treatment. Outcome was measured in terms of survival and complications.
  
  
  RESULTS
  In total 283 patients (240 (85%) men, median age 77.4 years) were included, 211 (75%) in group I and 72 (25%) in group II. There was an overall significantly higher mortality rate in the octogenarians (p < 0.01). This difference was not seen in the groups treated conservatively and with OPEN repair. However, in the EVAR group there was a significantly higher mortality rate in octogenarians (p < 0.01).
  
  
  CONCLUSIONS
  Long-term outcome after EVAR procedures results in higher mortality rates for the population older than 80 years as compared to the group aged 70-79 years.
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands. Electronic address: kevin_de_leur@hotmail.com.
authors: Kevin
authors: K
authors: de Leur
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands.
authors: Hans C
authors: HC
authors: Flu
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands.
authors: Gwan H
authors: GH
authors: Ho
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands.
authors: Hans G W
authors: HG
authors: de Groot
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands.
authors: Eelco J
authors: EJ
authors: Veen
authors: Amphia Hospital, Department of Surgery, Breda, The Netherlands.
authors: Lijckle
authors: L
authors: van der Laan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods / Q000401:mortality*; D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000379:methods / Q000401:mortality*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000401:mortality; D005260:Female; D006801:Humans; D008297:Male; D018579:Patient Selection; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Abdominal aortic aneurysm; Conservative treatment; EVAR; OPEN repair; The elderly