[Reconstructive surgery in high-risk arteriopathic patients]

Area of Science:

• Vascular Surgery
• Geriatric Medicine
• Cardiovascular Disease

Context:

• Obliterating arteriopathy of the lower limbs affects elderly patients, often with multiple comorbidities.
• Reconstructive surgery in high-risk elderly patients presents unique challenges.
• This study focuses on patients over 65 undergoing surgical intervention for lower limb vascular disease.

Purpose:

• To evaluate the outcomes of reconstructive surgery for lower limb obliterating arteriopathy in patients over 65.
• To assess the influence of various risk factors on surgical outcomes in this patient cohort.
• To determine the efficacy of surgical intervention despite high surgical risk in elderly individuals.

Summary:

• The study analyzed 24 patients aged over 65 with lower limb obliterating arteriopathy undergoing reconstructive surgery.
• Despite high surgical risk and common comorbidities (heart disease, diabetes, hypertension, etc.), immediate results were excellent in 23 cases.
• Long-term follow-up showed good outcomes, with only one re-operation and two non-vascular deaths, indicating risk factors did not negatively affect results due to medical management.

Impact:

• Surgical intervention for lower limb obliterating arteriopathy is feasible and effective in elderly patients.
• Effective management of comorbidities can mitigate the impact of risk factors on surgical outcomes.
• Findings support aggressive surgical management in selected elderly patients with advanced vascular disease.