Repository logo
 
Publication

Is Age a Determinant Factor in EVAR as a Predictor of Outcomes or in the Selection Procedure? Our Experience

dc.contributor.authorMachado, R.
dc.contributor.authorTeixeira, G.
dc.contributor.authorOliveira, P.
dc.contributor.authorLoureiro, L.
dc.contributor.authorPereira, C.
dc.contributor.authorAlmeida, R.
dc.date.accessioned2017-05-22T09:37:01Z
dc.date.available2017-05-22T09:37:01Z
dc.date.issued2016-04
dc.description.abstractIntroduction: Endovascular aneurysm repair (EVAR) is the therapy of choice in high risk patients with abdominal aortic aneurysm. The good results described are leading to the broadening of clinical indications to younger patients. However, reintervention rates seem higher and even with successful treatment sometimes there is growth of the aneurysm sac and rupture, meaning a failure of the therapeutic goal. This study proposes to analyse the impact of age in patients' selection and post-EVAR results. Methods: The clinical records of consecutive patients undergoing endovascular aneurysm repair, between 2001 and 2013, were retrospectively reviewed. Patients were divided according to age groups (<70, 70-80 and >80 years). Gender, body mass index, aneurysm anatomic features, neck characteristics, iliac morphology, surgical indication, endograft type, anesthesic risk classification, length of stay, reinterventions and mortality were analysed and compared. Results: The study included 171 patients, 161 (94.1%) men, and mean age 74.1±8.9 years. The age group under 70 had 32% of the patients. Only three characteristics were found different among age groups: 1) body mass index was higher in younger patients, with a considerable trend toward significance (P=0.06); 2) surgical indication, in the younger group, surgeon's and the patient's option were more proeminent (P<0.05); 3) erectile dysfunction was higher in elderly group (P<0.05). No other clinical and anatomical characteristics or final outcomes were found statisticaly different among age groups. Conclusion: The absence of statistically differences in mortality and reinterventions among age groups suggests that age by itself is not a relevant factor in endovascular aneurysm repair. Indeed, the three characteristics different in younger (obesity, sexual function and patient's choice) favor endovascular aneurysm repair.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBraz J Cardiovasc Surg. 2016 Apr;31(2):132-9pt_PT
dc.identifier.doi10.5935/1678-9741.20160037pt_PT
dc.identifier.issn0102-7638
dc.identifier.issn1678-9741
dc.identifier.urihttp://hdl.handle.net/10400.16/2094
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherBrazilian Society of Cardiovascular Surgerypt_PT
dc.relation.publisherversionhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382016000200132&lng=en&nrm=iso&tlng=enpt_PT
dc.subjectAge Groupspt_PT
dc.subjectAortic Aneurysmpt_PT
dc.subjectAbdominalpt_PT
dc.subjectEndovascular Procedurespt_PT
dc.titleIs Age a Determinant Factor in EVAR as a Predictor of Outcomes or in the Selection Procedure? Our Experiencept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceBrazilpt_PT
oaire.citation.endPage139pt_PT
oaire.citation.issue2pt_PT
oaire.citation.startPage132pt_PT
oaire.citation.titleBrazilian Journal of Cardiovascular Surgerypt_PT
oaire.citation.volume31pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Is Age a Determinant Factor.pdf
Size:
208.24 KB
Format:
Adobe Portable Document Format
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.35 KB
Format:
Item-specific license agreed upon to submission
Description: