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Vascular operations in nonagenarians

K M Jain1, E J Simoni, J S Munn

  • 1Michigan State University, Kalamazoo Center for Medical Studies, USA.

Annals of Vascular Surgery
|January 1, 1996
PubMed
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Vascular surgery in patients aged 90+ is feasible. Careful planning and patient selection yield acceptable outcomes, including good survival and limb salvage rates for elective procedures.

Area of Science:

  • Geriatric Surgery
  • Vascular Surgery
  • Surgical Outcomes

Background:

  • Advanced age presents unique challenges in vascular surgery.
  • Limited data exists on the outcomes of vascular procedures in nonagenarians.

Purpose of the Study:

  • To evaluate the safety and efficacy of vascular surgical procedures in patients aged 90 years or older.
  • To assess short-term and long-term outcomes, including mortality, morbidity, and limb salvage.

Main Methods:

  • Retrospective review of vascular surgical procedures performed in patients aged 90 years and above.
  • Analysis of 34 procedures (major/minor reconstruction, amputation) in 20 patients.
  • Evaluation of 30-day mortality, 24-month survival, and limb salvage rates.

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Main Results:

  • A 30-day mortality rate of 6% was observed for planned surgical procedures.
  • 24-month survival rate was 82% for elective major revascularizations.
  • Limb salvage rate was 80% in patients undergoing elective major revascularizations.

Conclusions:

  • Vascular reconstruction in nonagenarian patients can be performed with acceptable morbidity and mortality.
  • Careful pre-operative planning and patient selection are crucial for successful outcomes.
  • Elective major revascularization offers favorable survival and limb salvage in this elderly cohort.