Abdominal Aortic Aneurysm (AAA) in the elderly: endovascular versus open surgical repair
- R Russo1
© Russo; licensee BioMed Central Ltd. 2010
Published: 19 May 2010
The traditional surgical intervention of open aneurysmectomy and prosthetic graft is still now the gold standard for the treatment of abdominal aortic aneurysm. Today, the new mini-invasive endovascular approach is a valid therapeutic option to customize the treatment based on clinical characteristics of patient and morphological features of the aneurysmal lesion. The purpose of this study is to establish which technique is more suitable for the treatment of the AAA in the elderly patients.
Materials and methods
100 patients aged between 65 and 75 (M:F 85:15) were enrolled in 3 years. After a preoperative cardiac screening, patients were divided into two groups of 50 patients. In group I were included high risk patients (acute renal insufficiency, chronic obstructive pulmonary disease, hypertension and valvular defects), while in group II were included low risk patients with not relevant pathologies. All patients of group I underwent endovascular and surgical treatment, patients in group II were submitted to "open" surgical intervention because of moderate risk.
Follow up 7 days
Follow up 12 months
3 paresis of ileum
The study shows that the minimally invasive and endovascular method represents a valid therapeutic option especially in high risk patients with a reduction in immediate post-operative complications. The one year follow-up has revealed the normal predictable incidence of complications.
- Lederle FA, Freischlag JA, Kyriakides TC, Padberg FT, Matsumura JS, Kohler TR, Lin PH, Jean-Claude JM, Cikrit DF, Swanson KM, Peduzzi PN: Outcomes following endovascular vs open repair of abdominal aortic aneurysm: a randomized trial. Open Versus Endovascular Repair (OVER) Veterans Affairs Cooperative Study Group. 2009, 302 (14): 1535-42.Google Scholar
This article is published under license to BioMed Central Ltd.