Endovascular abdominal aortic aneurysm repair in the geriatric population

作     者：Athanasios Saratzis SaifMohamed 

作者机构：Warwickshire Vascular and Endovascular Unit University Hospital Coventry & Warwickshire Coventry CV22DX United Kingdom 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2012年第9卷第3期

页      面：285-291页

核心收录：

学科分类：0820[工学-石油与天然气工程] 080706[工学-化工过程机械] 12[管理学] 1201[管理学-管理科学与工程(可授管理学、工学学位)] 08[工学] 0807[工学-动力工程及工程热物理] 082003[工学-油气储运工程] 081201[工学-计算机系统结构] 0812[工学-计算机科学与技术（可授工学、理学学位）] 

主　　题：Abdominal aortic aneurysm Octogenarians Geriatric population 

摘      要：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 EVA_R, ranging fi＇om 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.