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Carotid endarterectomy in the elderly: does gender effect outcome?
Kathleen J Ozsvath1, R Clement Darling, Laila Tabatabai
1Institute for Vascular Health and Disease, Albany Medical College, 47 New Scotland Avenue, Albany, NY 12208, USA.
Cardiovascular Surgery (London, England)
|November 28, 2002
Summary
Carotid endarterectomy (CEA) is safe and effective for patients 80 and older with carotid artery stenosis. Elderly women undergoing CEA experience similar outcomes to men, demonstrating the procedure
Area of Science:
- Vascular Surgery
- Geriatric Medicine
- Neurology
Background:
- Carotid endarterectomy (CEA) improves stroke-free survival for carotid stenosis.
- Octogenarians are often excluded from clinical trials on CEA.
- Concerns exist regarding CEA benefits in elderly women.
Purpose of the Study:
- To analyze outcomes of CEA in patients aged 80 and older.
- To compare outcomes between elderly men and women undergoing CEA.
Main Methods:
- Retrospective review of a vascular surgery registry over 10 years.
- Analysis of demographics, indications, outcomes, and survival for 125 patients aged 80+.
- Statistical comparison using Chi-square analysis.
Main Results:
- 125 patients (56 male, 69 female) aged 80+ underwent CEA.
- No deaths and only one permanent neurological deficit (in a female patient).
- No significant difference in 30-day morbidity or mortality between genders.
Conclusions:
- CEA is a safe option for selected elderly patients with carotid stenosis.
- Elderly women achieve comparable results to men after CEA.