Thoracic Endografting is a Viable Option for the Octogenarian

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Background: The objective of our study is to determine the feasibility of thoracic aortic endografting in octogenarians. Methods: Between 2000 and 2006 a total of 504 consecutive patients from two high-volume institutions underwent thoracic endoluminal graft repair for various thoracic aortic pathologies. The following devices were used: Gore TAG (W.L. Gore, Flagstaff, AZ); Talent (Medtronic, Minneapolis, MN); and Zenith (Cook, Inc, Bloomington, IN). One hundred one (101 of 504; 20%) patients were octogenarians; 60 males (1.5:1, M:F) with a mean age of 83.7 years. Indications for intervention included the following: atherosclerotic aneurysms, 75 (75 of 101, 74%); acute and chronic dissections, 11(11 of 101, 11%); penetrating aortic ulcers, 9 (9 of 101, 9%); contained ruptures, 5 (5 of 101, 5%); and 1 transection (1 of 101, 1%). Mean length of follow-up was 3.4 ± 2.1 years. Results: No intraoperative deaths were noted. Thirty-day mortality was 10% (10 of 101 patients) with an overall late mortality of 26.7% (27 of 101 patients). Mean hospital stay was 6.3 days. A total of 12 neurologic events were noticed: 2 paraplegia (2 of 101, 2%); 4 paraparesis (4 of 101, 4%), 3 with full recovery; and 6 (6 of 101, 6%) cerebrovascular accidents with full recovery in half. A total of 15 endoleaks (15 of 101, 15%) were seen and, in 11, interventions were required. Conclusions: Our data suggest that technical success is high and age-specific outcomes in this group of patients are favorable. Further studies are warranted. © 2010 The Society of Thoracic Surgeons.




Preventza, O., Bavaria, J., Ramaiah, V., Moser, G. W., Szeto, W., Wheatley, G., … Diethrich, E. (2010). Thoracic Endografting is a Viable Option for the Octogenarian. Annals of Thoracic Surgery, 90(1), 78–82.

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