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Vascular disease in the elderly patient

B A Perler1

  • 1Vascular Surgery Service, Johns Hopkins Hospital, Baltimore, Maryland.

The Surgical Clinics of North America
|February 1, 1994
PubMed
Summary

Physicians must carefully consider treatment for elderly patients with peripheral arterial disease, prioritizing quality of life and function. Timely surgical intervention for specific conditions like abdominal aortic aneurysms offers significant benefits for selected elderly patients.

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Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Health Policy

Background:

  • Healthcare policy changes necessitate cost containment and careful treatment selection for elderly patients with peripheral arterial disease.
  • The goal of healthcare for the elderly is to postpone chronic illness, maintain vigor, and slow involution.
  • Peripheral arterial disease encompasses conditions such as abdominal aortic aneurysms, carotid disease, and limb-threatening ischemia.

Purpose of the Study:

  • To emphasize the importance of introspective treatment selection for elderly patients with peripheral arterial disease.
  • To highlight the benefits of timely surgical intervention in properly selected elderly patients with specific vascular conditions.

Main Methods:

  • Review of evidence regarding surgical intervention for elderly patients with peripheral arterial disease.
  • Analysis of treatment goals in geriatric care, focusing on maintaining function and quality of life.

Main Results:

  • Surgical intervention is well-tolerated in properly selected elderly patients with abdominal aortic aneurysms, significant carotid disease, or limb-threatening peripheral ischemia.
  • Timely surgical treatment can effectively postpone chronic illness and maintain vigor in the elderly population.

Conclusions:

  • Physicians should carefully weigh treatment options for elderly patients with peripheral arterial disease, considering both cost and patient well-being.
  • Evidence supports that surgical intervention, when appropriately indicated and performed, is a beneficial strategy for improving outcomes in elderly patients with critical vascular conditions.

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