Carotid Surgery in the Octogenarian

Favre, Jean‐Pierre; Guy, Jean-Michel; Frering, Vincent; Boissier, C.; Banal, Xavier

doi:10.1007/bf02133061

Cited by 21 publications

(9 citation statements)

References 10 publications

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“…The literature supports CEA in the symptomatic but otherwise healthy octogenarian with high-grade stenosis. [16][17][18][19][20][21] No consensus exists, however, on the appropriate treatment of the asymptomatic octogenarian with highgrade stenosis. This study is one of several that have shown that CEA can be performed safely in this age group with acceptable morbidity and mortality as defined by the American Heart Association.…”

Section: Discussionmentioning

confidence: 99%

Carotid Artery Endarterectomy in the Octogenarian: A Community Hospital Experience

Goldman

Singhal

Kahn³

et al. 1999

Vascular Surgery

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PRINCETON and NEW BRUNSWICK, NEW JERSEY Between May 1995 and April 1998 three vascular surgeons performed 310 consecutive primary carotid endarterectomies (CEAs) in a 224-bed community hospital. Seventy-six CEAs were performed in octogenarians (Group 1) and 234 CEAs were performed in nonoctogenarians (Group 2). Demographic information, indication for surgery, and outcomes were compared. There were no strokes or deaths in Group 1; there was a single death and three strokes in Group 2. The overall rates of death, stroke, and combined stroke and death were 0.3%, 1%, and 1% respectively. No statistically significant difference existed in rates of morbidity and mortality in Groups 1 and 2. On follow-up (mean = 18 months), 94% of the patients were alive without stroke, 5% were dead, and 1% were alive with stroke. These data demonstrate that CEA can be performed safely in the octogenarian in the community hospital setting.

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Section: Discussionmentioning

confidence: 99%

Carotid Artery Endarterectomy in the Octogenarian: A Community Hospital Experience

Goldman

Singhal

Kahn³

et al. 1999

Vascular Surgery

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“…Thomas et al reported that these elderly patients tended to maintain preoperative levels of living independence after CEA [14]. Favre et al reported that survival after carotid reconstruction was 90% at 1 year, 76% at 2 years, and 62% at 3 years after carotid reconstruction in octogenarians [18]. Others have reported similar survival at 2 (83%) and 3 (70%) years, as well as a 54% 5-year survival [19].…”

Section: Discussionmentioning

confidence: 93%

“…Stroke rates in octogenarians after cerebrovascular reconstruction have ranged from 1.3 to 7.7%, and mortality rates up to 4.8% have been reported [10,14,[17][18][19][20][21][22][23][24][25]. Thomas et al reported that these elderly patients tended to maintain preoperative levels of living independence after CEA [14].…”

Section: Discussionmentioning

confidence: 98%

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Carotid Surgery in Octogenarians in Veterans Affairs Medical Centers

Kazmers

Perkins

Huber

et al. 1999

Journal of Surgical Research

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“…According to the most recent studies, 29–31 carotid endarterectomy can be performed in older patients with symptomatic carotid disease with morbidity and mortality rates similar to those of a younger population.…”

Section: Discussionmentioning

confidence: 99%