Comparison of embolectomy outcomes for acute lower limb ischemia between patients aged ≥80 years and <80 years

Abstract

Objectives: This study aims to compare embolectomy results for acute lower limb ischemia (ALLI) between patients aged ≥80 years and <80 years. Patients and methods: A total of 65 patients (39 males, 26 females; mean age, 70.2±17.9 years; range, 20 to 94 years) who were diagnosed with ALLI and underwent urgent thromboembolectomy in our hospital between December 2016 and August 2018 were retrospectively analyzed. The patients were divided into two groups according to their age as ≥80 years (Group 1) and <80 years (Group 2). Data including baseline demographic and clinical characteristics and postoperative data were recorded. Results: There was a male predominance in Group 2, while the majority of patients were females in Group 1. Of the patients, 29 (44.6%) were operated from the right lower limb, 32 (49.2%) from the left lower limb, and four (6.2%) bilaterally. There was no significant difference in the rate of postoperative hematoma, wound infection, compartment syndrome, acute renal insufficiency, amputation, and early mortality between the groups. However, the rate of amputation was statistically significantly higher in Group 2 with late presentation, than Group 1. Conclusion: Our study results show similar results of urgent surgical thromboembolectomy between over and under 80-year-old patients with ALLI. We believe that the age of the patient should not be an exclusion criterion for embolectomy due to ALLI.

Is Surgical Thrombo-Embolectomy in Acute Limb Ischemia Still Advantageous in Patients More Than 65 Years of Age?

“…The rate of AF was considerably high in our study (62% to 66%) compared with previous studies. Kubat et al [2020] recently showed an AF rate of 61.5% in patients 70.2 ± 17.9 years old (range 20 to 94). They also stated that urgent surgical thrombo-embolectomy should be conducted in subjects both older and younger than 80 years [Pemberton Older patients usually have various comorbidities and are more fragile to invasive procedures such as traditional open thrombectomy, catheter-directed thrombolysis, bypass, and anesthesia.…”

Can C-reactive protein to albumin ratio be used as a predictor of amputation development in acute lower extremity ischemia?

“…Advanced age is a bad prognostic factor in many cardiovascular diseases. Patients who developed acute lower extremity ischemia were divided into two groups as those under 80 years of age (41 patients) and over (24 patients) by Kubat et al [25] and compared in terms of results. Although amputation rates were higher in patients over 80 years of age after the surgeries, there was no statistically significant difference.…”