Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Is age a limiting factor for carotid surgery?]

H Vandamme1, S Smitz, A Albert

  • 1Département de chirurgie cardio-vasculaire, CHU de Liège, Domaine universitaire du Sart-tilman, Belgique.

Journal Des Maladies Vasculaires
|January 1, 1993
PubMed
Summary

Carotid surgery is safe for elderly patients over 75, with similar risks to younger patients. Elderly patients had higher rates of asymptomatic carotid stenosis and bilateral disease, indicating a role for carotid endarterectomy in this population.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Gemcitabine and low dose carboplatin in the treatment of elderly patients with advanced non-small cell lung cancer.

Lung cancer (Amsterdam, Netherlands)·2003
Same author

Structure of bacteriocin AS-48: from soluble state to membrane bound state.

Journal of molecular biology·2003
Same author

Crural artery bypass with the autogenous greater saphenous vein.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2003
Same author

[Predictive value of prenatal MRI in the diagnosis of thoracic congenital malformations].

Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica·2003
Same author

Weekly paclitaxel for advanced non-small cell lung cancer patients not suitable for platinum-based therapy.

Neoplasma·2003
Same author

Factors predictive of nephropathy in DCCT Type 1 diabetic patients with good or poor metabolic control.

Diabetic medicine : a journal of the British Diabetic Association·2003

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Neurology

Background:

  • Carotid endarterectomy is a common procedure to prevent stroke.
  • The safety and efficacy in elderly patients (75 years and older) require specific evaluation.
  • Previous studies have not extensively focused on the outcomes of carotid surgery in this demographic.

Purpose of the Study:

  • To evaluate the role and outcomes of carotid endarterectomy in patients aged 75 years and older.
  • To compare the risk profile, indications, and outcomes of carotid surgery in elderly versus younger patients.
  • To assess the long-term follow-up data for elderly patients undergoing carotid endarterectomy.

Main Methods:

  • Retrospective review of 912 carotid endarterectomies performed between 1987 and 1990.

Related Experiment Videos

  • Comparison of 151 elderly patients (group A, ≥75 years) with 655 younger patients (group B, <75 years).
  • Analysis of patient demographics, risk factors, indications for surgery, operative outcomes, and follow-up data.

    • Main Results:

    • Elderly patients had a similar risk profile, except for less frequent coronary heart disease (25% vs 44%).
    • Higher rates of prophylactic endarterectomy for stenosis (41% vs 30%) and bilateral carotid disease (59% vs 40%) were observed in the elderly group.
    • Operative mortality was slightly higher in the elderly group (2.5% vs 1.5%), with cardiac causes being the most frequent (60%).

    Conclusions:

    • Carotid endarterectomy is a viable option for elderly patients (≥75 years) with acceptable operative risks.
    • Elderly patients present with different indications and anatomical findings, such as higher rates of asymptomatic stenosis and bilateral disease.
    • The study supports the consideration of carotid surgery in carefully selected elderly patients to prevent stroke.