Carotid endarterectomy in octogenarians: comparison of outcomes in younger patients, the Fundación Cardio Infantil experience
Background: Given the increase in patients over 80 years old who are taken to surgery each year in our institution we considered important to know the behavior in terms of early morbidity and mortality of those taken to carotid endarterectomy.Objective: To assess outcomes at 30 days in octogenarians...
| Autor Principal: | Monroy Melo, Fernando; Universidad de Nuestra Señora del Rosario |
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| Otros Autores: | Cepeda Páez, Katerine Andrea; Fundación Cardio Infantil, Camacho Mackenzie, Jaime; Fundación Cardio Infantil; Instituto de Cardiología, Pinzón Flórez, Carlos Eduardo; Universidad de Nuestra Señora del Rosario |
| Formato: | info:eu-repo/semantics/article |
| Idioma: | spa |
| Publicado: |
Pontificia Universidad Javeriana
2011
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| Materias: | |
| Acceso en línea: |
http://revistas.javeriana.edu.co/index.php/vnimedica/article/view/16073 |
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| Sumario: |
Background: Given the increase in patients over 80 years old who are taken to surgery each year in our institution we considered important to know the behavior in terms of early morbidity and mortality of those taken to carotid endarterectomy.Objective: To assess outcomes at 30 days in octogenarians with symptomatic and asymptomatic severe carotid disease taken to carotid endarterectomy compared to a historic cohort of younger patients operated since 1995at Fundación Cardio Infantil. End points were mortality and stroke.Results: A total of 218 carotid endarterectomies, 189 (86,6%) in patients under 80 years and 30 (13,4%) in octogenarians. Octogenarias had 3,3% cerebrovascular events and 0% death. The group of patients less than 80 years had 1,7% cerebrovascular events and 1,1% death. Conclusions: Octogenarians with proper functionality and no clear contraindications can be carried safely to carotid endarterectomy. |
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