Papers from the Southern California Vascular Surgery Society 1991 MeetingCarotid Endarterectomy in the Elderly
References (18)
- et al.
The diminishing role of diagnostic arteriography in carotid artery disease: duplex scanning as definitive preoperative study
Ann Vasc Surg
(1991) Comparison of duplex scanning and contrast arteriography: a community hospital experience
J Vasc Surg
(1985)- et al.
Can carotid duplex scanning supplant arteriography in patients with focal carotid territory symptoms?
J Vasc Surg
(1987) - et al.
The risk of carotid endarterectomy for the asymptomatic patient: an argument for prophylactic operation
Ann Vasc Surg
(1990) - et al.
Asymptomatic carotid stenosis: immediate and long-term results after prophylactic endarterectomy
Am J Surg
(1979) - et al.
Carotid endarterectomy to correct asymptomatic carotid stenosis: ten years later
J Vasc Surg
(1987) - et al.
Carotid endarterectomy in the octogenarian: is it appropriate?
J Vasc Surg
(1986) - et al.
Should patient age be a consideration in carotid endarterectomy?
J Vasc Surg
(1990) - et al.
Community hospital carotid endarterectomy in patients over age 75
Am J Surg
(1990)
Cited by (50)
Early and long-term outcomes of carotid endarterectomy in the very elderly: An 18-year single-center study
2009, Journal of Vascular SurgeryCitation Excerpt :The five- and seven-year relative survival rates of the elderly patients were 112.5% and 99.8%, respectively (Fig 3). The results of this study show that CEA is safe and effective in patients with severe symptomatic and asymptomatic ICA stenosis, with a combined mortality and stroke rate of less than 1%, and that CEA can be performed in patients ≥ 80 years old with perioperative stroke risk and death rates comparable with those of younger patients, as reported in many other institutional series18-31 (Table V). Moreover, these findings correlate well with, and expand on the results of our two previous, smaller studies on early outcomes in this patient population.32,33
Metaanalysis of Procedural Stroke and Death among Octogenarians: Carotid Stenting versus Carotid Endarterectomy
2009, Journal of the American College of SurgeonsAre Octogenarians at High Risk for Carotid Endarterectomy?
2008, Journal of the American College of SurgeonsCitation Excerpt :A recently published pooled analysis of > 2,500 patients reported a combined stroke mortality of 3.45% after carotid endarterectomy in octogenarians.13 Several articles have determined that there exists no substantial increase in combined stroke and death end points after endarterectomy when patients older than 80 are compared with a younger cohort.12,13,18 Results in our series tend to bear this out.
Carotid angioplasty and stenting, success relies on appropriate patient selection
2008, Journal of Vascular SurgeryCarotid Reconstruction in Nonagenarians: Is Surgery a Viable Option?
2008, Annals of Vascular SurgeryCitation Excerpt :Medicare data from the 1980s reflect a three- to fourfold increase in morbidity and mortality in patients over the age of 75 or 80 years.16,17 However, multiple single-institution series have shown that CEA can be performed in the elderly without an increase in risk.3,5,6,9,18-22 Most studies on the elderly have focused on patients over the age of 80.
Presented at the Tenth Annual Meeting of the Southern California Vascular Surgical Society, September27–29 1991, Marina Del Rey, California.
Reprint requests: Richard L. Treiman, MD, 8631 West Third Street, Los Angeles, California 90048.