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Minimally invasive endovascular techniques offer a low-risk, high-success treatment for elderly patients with vascular diseases and biliary obstructions, improving clinical outcomes.

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Area of Science:

  • Geriatric Surgery
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Advanced age (75+) significantly increases surgical risk and perioperative mortality.
  • Minimally invasive endovascular techniques are increasingly utilized for high-risk surgical patients.
  • These techniques have transformed the treatment of various vascular conditions.

Purpose of the Study:

  • To evaluate the efficacy and safety of endovascular techniques in elderly, high-risk surgical patients.
  • To highlight the benefits of endovascular approaches for specific vascular pathologies and biliary obstructions.

Main Methods:

  • Review of endovascular procedures for carotid stenosis, aortic pathologies, and critical limb ischemia.
  • Analysis of biliary stenting for malignant biliary obstruction and pre-operative management.

Main Results:

  • Endovascular approaches demonstrate a low complication rate and high technical success.
  • Positive clinical outcomes are achieved in patients with vascular diseases.
  • Biliary stenting improves the condition of critically ill patients awaiting surgery and offers palliative care.

Conclusions:

  • Endovascular techniques provide a safe and effective treatment option for elderly patients with complex vascular and biliary conditions.
  • These minimally invasive methods significantly improve patient outcomes and quality of life.