Abdominal Aortic Aneurysm Repair in Octogenarians: Outcomes and Predictors

Abstract

In this series, AAA surgery was carried out in selected octogenarians without affecting long-term survival.

Elective endovascular and open repair of abdominal aortic aneurysms in octogenarians

“…Dainese et al 17 reported an operative mortality of 3% in 30 octogenarians undergoing open AAA repair, with a remarkable 81% surviving to 48 months and 46% surviving to 96 months postprocedurally. All patients underwent a full preoperative evaluation that included dobutamine stress echocardiography.…”

Elective surgery of abdominal aortic aneurysms in octogenarians: A systematic review

“…28 We found only three studies that addressed quality of life after open AAA surgery in people of high age. 31,33,58 In these small studies included a total of 112 patients, and nearly all patients had returned to their homes and resumed daily activities after 6 months. It is clear that more information is needed on this is issue, especially to define the value of modern technologies such as EVAR.…”

Laparoscopic abdominal aortic aneurysm repair in octogenarians

“…[7][8][9][10][11][12][13][14] However, direct aortic repair (DAR) with aneurysmorraphy and bypass graft interposition remains a reliable and suitable alternative in selected octogenarians. 2,[15][16][17][18][19] The purpose of laparoscopy focuses on reduction of surgical stress when DAR is scheduled. In general surgery, laparoscopy in elderly patients positively affects outcomes and postoperative quality of life.…”