Abdominal aortic aneurysm surgery for octogenarians

Abstract

We concluded that AAAs over 6 cm in diameter were an appropriate indication for surgery in octogenarians.

Mid-term results of endovascular abdominal aortic aneurysm repair: Is it possible to predict sac shrinkage?

“…In our previous report, AAAs smaller than 6 cm at diagnosis rarely ruptured, and most patients eventually died of nonaneurysmal disease. 13 According to Japanese vital statistics, death from aortic disease accounts for only 1.2% of total deaths. 14 Although it is important to note that endovascular repair of AAA was associated with a signifi cantly lower rate of aneurysm-related mortality than no repair, it is unreasonable to expect a signifi cant reduction in the rate of total deaths from any cause given this low percentage.…”

Remodeling of proximal neck angulation after endovascular aneurysm repair

“…3,4 EVAR has several advantages over traditional open surgery in appropriately selected patients. 5,6 However, a hostile proximal neck (PN), including severe angulation, short neck, and reverse funnel neck, is still considered a major anatomic limitation for EVAR. Several investigators have reported that severe angulation of the PN affected the outcomes of EVAR, including type Ia endoleak and migration.…”

Elective endovascular vs. open repair for abdominal aortic aneurysm in octogenarians

“…Table 5 summarizes the current literatures of treatment for AAA in octogenarians. [4][5][6][7][8]12,[15][16][17][18][19][20][21][22][23][24][25] In this study, the incidence of CAD was 33.8%. The percentage of CAD varies by reports or countries, 21-33.3% in Japan 20,23 and 34-69% in US, [5][6][7][8]16,24,25 which may be caused by the difference of the lifestyle.…”