Midterm outcome of endovascular abdominal aortic aneurysm repair in octogenarians: A single institution's experience

Abstract

Elective EVAR in octogenarians appears safe and effective over midterm follow-up, with a temporary decrease in renal function (14%) and postoperative lymphoceles (12%) being the most common postoperative adverse events. Advanced chronologic age is not associated with diminished procedural outcome, clinical success, or postoperative survival, compared with younger age. Because of low perioperative mortality and high procedural success, EVAR may be the preferred approach to abdominal aortic aneurysm treatment in selected elderly patients.

Thirty-day outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians based on the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE)

“…These results compare well with the existing literature on EVAR in octogenarians, including the Eurostar registry. 1,3,[11][12][13][14][15][16] The 30-day mortality rate is at the low end of the spectrum reported previously, possibly reflecting improvements in devices and the perioperative care of octogenarians.…”

Intermediate-term EVAR outcomes in octogenarians

“…5 There has been a scarcity of long-term outcome studies on EVAR in the octogenarian population in North America. 6 The purpose of this study is to investigate our periprocedural and late EVAR outcomes in octogenarians compared with patients less than 80 years of age.…”

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.…”