Endovascular Aortic Aneurysm Repair in the Octogenarian

Endovascular Aneurysm Repair in Nonagenarians: A Systematic Review

“…8,9 There are many reports with large numbers of patients suggesting that EVAR in octogenarians is acceptably safe and effective. 3,10,11 Some observational studies do report successful management of nonagenarians with AAA using EVAR, but such reports tend to report few cases, and thus, it is difficult to draw reliable conclusions. 12,13 In addition, a true successful outcome from EVAR should be interpreted with reference to the alternative outcome under conservative management.…”

Acceptable Risk but Small Benefit of Endovascular Aneurysm Repair in Nonagenarians

“…[4][5][6][7][8] Furthermore, there have been several studies demonstrating the benefits of EVAR in octogenarians. [9][10][11] However, there are very limited data regarding EVAR in nonagenarians. We therefore sought to evaluate the outcomes of EVAR in nonagenarians at a single university teaching hospital, with particular focus on technical success, perioperative outcomes, and long-term mortality results.…”

Laparoscopic abdominal aortic aneurysm repair in octogenarians

“…EVAR reduces operative risk and is an alternative to open repair in this subset. [7][8][9][10][11][12][13][14] However, continued surveillance and risk for further procedures may be associated with poor compliance in the elderly population.…”

“…[1][2][3][4][5][6] Limited functional reserve of octogenarians has stimulated the use of minimally invasive techniques, mainly endovascular aneurysm repair (EVAR). [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.…”