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Endovascular abdominal aortic aneurysm repair in high-risk patients: a single centre experience
S Zannetti1, P De Rango, G Parlani
1Unit of Vascular Surgery, Policlinico Monteluce, Perugia, Italy.
Objectives:
to evaluate the role of endovascular repair (ER) of abdominal aortic aneurysm (AAA) repair in American Society for Anaesthesiology [ASA] class IV patients.
Patients And Methods:
between April 1997 and March 2000, 266 consecutive patients underwent ER for AAA. There were 26 patients (10%) with ASA grade IV. The remaining 240 patients, ASA grade between I and III (ASA
Results:
patients in the ASA IV group were significantly older than patients in ASA
Conclusions:
ER in ASA IV patients is feasible and effective with acceptable actuarial survival rates. However, the endovascular procedure in these patients is associated with higher major systemic morbidity, mortality, and prolonged hospitalisation rates.