Clinical results and medical costs of thoracic endovascular aortic repair in patients over 80 years of age

Total arch replacement in octogenarians and nonagenarians: A single-center 18-year experience

“…The significantly lower burden of reoperation in elderly patients is worth considering when evaluating for aortic repair (Figure 4). The operative mortality and 5-year survival after hybrid arch repair for elderly patients were reported at 1.5% to 8.5% 9,10,[27][28][29] and 54.3% to 84.0%, respectively, with a mean follow-up of 1.9 to 4.5 years. 8,28,30,31 Freedom from reoperation was reported at 80.0% to 91.9% at 5 years.…”

Aneurysms and dissections - What is new in the literature of 2019/2020 - a European Society of Vascular Medicine annual review

“…Interestingly, the 30 day and one year mortality rates for rAAA repair in octogenarians are similar to the outcome at all ages [123]. Similarly, the clinical results of thoracic endovascular aortic aneurysm repair (TEVAR) in pts over 80 years of age are acceptable with early postoperative recovery, low mortality and morbidity, and midterm durability, as shown by Yamauchi T et al in 57 pts over 80 years of age [124]. No significant difference was seen in outcomes following debranching thoracic aortic repair [125].…”

Comparative Analysis of Morbidity and Mortality Outcomes in Elderly and Nonelderly Patients Undergoing Elective TEVAR: A Systematic Review and Meta-Analysis

“…The elderly patients were defined as the experimental group and nonelderly patients as the control group. From the included studies, eight studies used 80 years of age for defining elderly [4,[9][10][11][12][13][14][15], three studies used 75 years of age [1,16,17], and one subgrouped patients in >75 and >80 age groups [5]. Studies that used cutoff points below the age of 75 were excluded from the analysis.…”

“…Seven studies directly compared TEVAR outcomes between elderly and nonelderly patients [1,4,5,10,12,14,17], with three studies comparing emergency and elective TEVAR procedures [5,9,11]. In addition, six studies conducted KM analysis investigating the overall survival (OS) in elderly patients undergoing TEVAR [1,4,5,13,15,16]. A minimum of three studies per outcome were needed for data synthesis and analysis.…”

“…E: elderly, NE: nonelderly, TAA: thoracic aortic aneurysm, AD: aortic dissection, Other: penetrating aortic ulcer (PAU), traumatic aortic injury (TAI), intramural haematoma (IMH). References:[1,4,5,[9][10][11][12][13][14][15][16][17].…”