Vascular procedures in nonagenarians and centenarians are safe

Wheatley, Brian J.; Gorsuch, Jill M.; Mansour, M. Ashraf; Sage, Katherine; Chambers, Christopher M.; Cuff, Robert; Wong, Peter Y.; Calì, R

doi:10.1016/j.amjsurg.2010.09.016

Cited by 14 publications

(15 citation statements)

References 7 publications

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“…This finding is echoed by another study that compared the surgical comorbidity and complexity of centenarians, nonagenarians, and octogenarians undergoing surgical repair of a hip fracture and reported that centenarian patients had the lowest comorbidity prior to surgery with no worse outcomes for mortality [7] . Although our review found that no centenarians underwent high-risk procedures, one study of centenarians and nonagenarians has suggested that vascular procedures are not uniformly unsuitable for the elderly population [25] ; however, the lack of specific age data made it difficult to attribute this finding to the centenarian proportion of their participants. While age has traditionally been recognised as a risk factor for perioperative morbidity and mortality [26] , among older patients age alone does not predict postoperative complications after elective surgery [27] .…”

Section: Discussionmentioning

confidence: 71%

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

MacDowall

Tully

Guha

et al. 2021

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 71%

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

MacDowall

Tully

Guha

et al. 2021

International Journal of Surgery Case Reports

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“…37,38 Although patients at age ≥90 years undergoing vascular procedures have "reasonable early outcomes" in general, ALI results in a mortality of 40% to 50% in this population. 39 In our study, patients who were ≥80 years had an almost doubled risk for amputation and death compared with patient who were <70 years. The other variable we found to be a predictor for outcome was the localization of the vascular obliteration which defines the extent of the ischemic area.…”

Section: Prognostic Factorsmentioning

confidence: 77%

Controlled Reperfusion Versus Conventional Treatment of the Acutely Ischemic Limb

Heilmann

Schmoor²,

Siepe³

et al. 2013

Circ: Cardiovascular Interventions

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Background-Amputation rates and mortality in patients with severe acute limb ischemia remain high. The protective effect of controlled reperfusion (CR) on tissue damage because of local and systemic reperfusion injury is unclear. Methods and Results-A total of 174 patients from 14 centers were randomized between conventional treatment (CT) by thrombembolectomy and normal blood reperfusion and thrombembolectomy followed by CR. The primary end point was amputation-free survival (AFS) after 4 weeks (CT, 82.4%; CR, 82.6%). Secondary end points were AFS (CT, 62.4%; CR, 63.1%) and overall survival (CT, 71.6%; CR, 76.3%) after 1 year. Analysis of the prognostic effects of preoperative factors revealed a strong adverse effect of bilateral involvement on AFS. In the subgroup with unilateral ischemia (n=160), age >80 years and central localization of the occlusion had independent negative prognostic effects on AFS. In the perprotocol population of 104 patients with unilateral ischemia, treatment per protocol, and successful revascularization, amputation or death within 4 weeks occurred in only 8% as compared with 33% in patients not fulfilling these criteria.No differences between treatment groups CT and CR were found, neither overall nor in the per-protocol population nor in patient subgroups defined by other pre-and intraoperative factors. Conclusions-Similar

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“…Nevertheless, centenarians also pose an unprecedented challenge to the healthcare system in turn. Recent research has shown that the centenarians can exceptionally fit as well as younger counterparts after procedures ranging from laparoscopic cholecystectomy, vascular procedures, aortic valve repair, to spine surgery, primary and even revision joint arthroplasty (8)(9)(10)(45)(46)(47)(48). Therefore, centenarians should not be denied on the basis of chronologic age, and they deserve equal resources as younger people.…”

Section: Discussionmentioning

confidence: 99%

Never too old for hip arthroplasty: a 111-year-old woman walks out of hospital—a case report and literature review

Liu

et al. 2020

Ann Transl Med

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Centenarians population is proliferating, and hip fractures are responsible for more than 10% of all hospital admissions for centenarian patients, which represents a considerable challenge to patients and healthcare providers. Herein, we first report a case of a 111-year-old woman who suffered from a hip fracture and was successfully managed with cemented hemiarthroplasty surgery. In addition, we further reviewed case reports, news, and related studies to address the central points in managing hip fractures in the centenarian population.

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Vascular procedures in nonagenarians and centenarians are safe

Cited by 14 publications

References 7 publications

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

Characteristics, comorbidity burden and outcomes in centenarians undergoing surgery in a university hospital: A case series

Controlled Reperfusion Versus Conventional Treatment of the Acutely Ischemic Limb

Never too old for hip arthroplasty: a 111-year-old woman walks out of hospital—a case report and literature review

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