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Endovascular abdominal aortic aneurysm repair in the geriatric population.

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journal contribution
posted on 14.08.2015, 08:45 by Athanasios Saratzis, Saif Mohamed
Abdominal aortic aneurysm (AAA) is a relatively common pathology among the elderly. More people above the age of 80 will have to undergo treatment of an AAA in the future. This review aims to summarize the literature focusing on endovascular repair of AAA in the geriatric population. A systematic review of the literature was performed, including results from endovascular abdominal aortic aneurysm repair (EVAR) registries and studies comparing open repair and EVAR in those above the age of 80. A total of 15 studies were identified. EVAR in this population is efficient with a success rate exceeding 90% in all cases, and safe, with early mortality and morbidity being superior among patients undergoing EVAR against open repair. Late survival can be as high as 95% after 5 years. Aneurysm-related death over long-term follow-up was low after EVAR, ranging from 0 to 3.4%. Endovascular repair can be offered safely in the geriatric population and seems to compare favourably with open repair in all studies in the literature to date.

History

Citation

Journal of Geriatric Cardiology, 2012, 9 (3), pp. 285-291

Author affiliation

/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Cardiovascular Sciences

Version

VoR (Version of Record)

Published in

Journal of Geriatric Cardiology

Publisher

Science Press

issn

1671-5411

Available date

14/08/2015

Publisher version

http://pub.chinasciencejournal.com/JournalofGeriatricCardiology/22963.jhtml

Language

en

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