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

Carotid surgery in octogenarians: is it worthwhile?

H Van Damme1, H Lacroix, Q Desiron

  • 1Department of Cardiovascular Surgery, University Hospital Sart-Tilman, Liège.

Acta Chirurgica Belgica
|April 1, 1996
PubMed
Summary
This summary is machine-generated.

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

[The opportunities of the minimally invasive approach for the cardiovascular and thoracic surgery].

Revue medicale de Liege·2020
Same author

[Heart transplantation, indications and results at the University Hospital of Liege].

Revue medicale de Liege·2020
Same author

[Minimally invasive aortic valve replacement through right anterior minithoracotomy: early experience at the University Hospital of Liege].

Revue medicale de Liege·2019
Same author

[Type A intramural hematoma of aorta: An undervalued clinical entity].

Journal de medecine vasculaire·2018
Same author

[Surgical fixation in flail chest : a local first encouraging experience].

Revue medicale de Liege·2017
Same author

Late Fate of Cryopreserved Arterial Allografts.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2016

Carotid endarterectomy is safe for octogenarians, showing similar risks and benefits compared to younger patients. Advanced age alone does not contraindicate this procedure for carotid artery disease.

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Cardiovascular Disease

Background:

  • Carotid stenosis poses a significant risk, particularly in the elderly.
  • The safety and efficacy of carotid endarterectomy in octogenarians remain debated due to perceived increased operative risks.

Purpose of the Study:

  • To evaluate the impact of advanced age on the outcomes of carotid endarterectomy.
  • To compare the mortality and morbidity of carotid surgery in patients aged 80 and older versus younger patients.

Main Methods:

  • Retrospective review of 129 patients aged 80+ (group 1) undergoing carotid endarterectomy from 1980-1994.
  • Comparison of outcomes with a cohort of younger patients (group 2) operated on by the same surgeons.
  • Analysis of perioperative stroke, operative mortality, and long-term stroke-free and survival rates.

Related Experiment Videos

Main Results:

  • Perioperative stroke rates were similar: 0.8% in octogenarians vs. 1.2% in younger patients.
  • Operative mortality rates were comparable: 2.3% in group 1 vs. 1.5% in group 2.
  • Five-year stroke-free rates were high and similar (89% vs. 91%), but 5-year survival was lower in octogenarians (47% vs. 77%).

Conclusions:

  • Carotid endarterectomy is a safe procedure for octogenarians.
  • Advanced age is not an absolute contraindication for carotid surgery.
  • The risk/benefit ratio for carotid endarterectomy is similar across age groups, despite lower long-term survival in the elderly.