Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond
ABSTRACT Objectives To study the short and mid‐term outcomes of thoracic aortic operations in patients ≥80 years old. Methods This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013. Results Ninety‐eight patients...
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| Veröffentlicht in: | Journal of cardiac surgery 2016-05, Vol.31 (5), p.334-340 |
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| container_title | Journal of cardiac surgery |
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| creator | Karimi, Ashkan McCord, Matthew R. Beaver, Thomas M. Martin, Tomas D. Hess, Philip J. Beck, Adam W. Feezor, Robert J. Klodell, Charles T. |
| description | ABSTRACT
Objectives
To study the short and mid‐term outcomes of thoracic aortic operations in patients ≥80 years old.
Methods
This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013.
Results
Ninety‐eight patients were studied. Fifty‐four patients underwent open repair; 41 underwent endovascular repair; and three underwent hybrid repair with aortic arch debranching and subsequent endovascular stent graft. Hospital mortality rate among the entire cohort was 11/98 (11%): 7/54 (13%) for open repair; 2/41 (5%) for endovascular repair; and 2/3 (66%) for hybrid repair. Major adverse events occurred in 23/98 (23%) in the entire cohort: 15/54 (28%) in open repair; 5/41 (12%) in endovascular repair; and 3/3 (100%) in hybrid repair. Mean follow‐up was 31 ± 28 months (median 26 months). Two‐ and five‐year survival rates were 57%, and 34% for the open approach and 71%, and 43% for the endovascular approach respectively.
Conclusions
Both open and endovascular thoracic aortic repairs can be performed with favorable mortality and perioperative morbidity in appropriately selected octogenarian patients. doi: 10.1111/jocs.12722 (J Card Surg 2016;31:334–340) |
| doi_str_mv | 10.1111/jocs.12722 |
| format | Article |
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Objectives
To study the short and mid‐term outcomes of thoracic aortic operations in patients ≥80 years old.
Methods
This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013.
Results
Ninety‐eight patients were studied. Fifty‐four patients underwent open repair; 41 underwent endovascular repair; and three underwent hybrid repair with aortic arch debranching and subsequent endovascular stent graft. Hospital mortality rate among the entire cohort was 11/98 (11%): 7/54 (13%) for open repair; 2/41 (5%) for endovascular repair; and 2/3 (66%) for hybrid repair. Major adverse events occurred in 23/98 (23%) in the entire cohort: 15/54 (28%) in open repair; 5/41 (12%) in endovascular repair; and 3/3 (100%) in hybrid repair. Mean follow‐up was 31 ± 28 months (median 26 months). Two‐ and five‐year survival rates were 57%, and 34% for the open approach and 71%, and 43% for the endovascular approach respectively.
Conclusions
Both open and endovascular thoracic aortic repairs can be performed with favorable mortality and perioperative morbidity in appropriately selected octogenarian patients. doi: 10.1111/jocs.12722 (J Card Surg 2016;31:334–340)</description><identifier>ISSN: 0886-0440</identifier><identifier>EISSN: 1540-8191</identifier><identifier>DOI: 10.1111/jocs.12722</identifier><identifier>PMID: 27017597</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Aged, 80 and over ; Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - surgery ; Aortic Aneurysm, Thoracic - diagnosis ; Aortic Aneurysm, Thoracic - mortality ; Aortic Aneurysm, Thoracic - surgery ; Blood Vessel Prosthesis Implantation - methods ; Diagnostic Imaging ; Endovascular Procedures - methods ; Female ; Florida - epidemiology ; Follow-Up Studies ; Hospital Mortality - trends ; Humans ; Male ; Retrospective Studies ; Stents ; Survival Rate - trends ; Time Factors ; Tomography, X-Ray Computed</subject><ispartof>Journal of cardiac surgery, 2016-05, Vol.31 (5), p.334-340</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4382-8b75e224926296920abe2a128c28c9cb1d9b3d668364266a48710185be8fe2743</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocs.12722$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocs.12722$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27017597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Karimi, Ashkan</creatorcontrib><creatorcontrib>McCord, Matthew R.</creatorcontrib><creatorcontrib>Beaver, Thomas M.</creatorcontrib><creatorcontrib>Martin, Tomas D.</creatorcontrib><creatorcontrib>Hess, Philip J.</creatorcontrib><creatorcontrib>Beck, Adam W.</creatorcontrib><creatorcontrib>Feezor, Robert J.</creatorcontrib><creatorcontrib>Klodell, Charles T.</creatorcontrib><title>Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond</title><title>Journal of cardiac surgery</title><addtitle>J Card Surg</addtitle><description>ABSTRACT
Objectives
To study the short and mid‐term outcomes of thoracic aortic operations in patients ≥80 years old.
Methods
This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013.
Results
Ninety‐eight patients were studied. Fifty‐four patients underwent open repair; 41 underwent endovascular repair; and three underwent hybrid repair with aortic arch debranching and subsequent endovascular stent graft. Hospital mortality rate among the entire cohort was 11/98 (11%): 7/54 (13%) for open repair; 2/41 (5%) for endovascular repair; and 2/3 (66%) for hybrid repair. Major adverse events occurred in 23/98 (23%) in the entire cohort: 15/54 (28%) in open repair; 5/41 (12%) in endovascular repair; and 3/3 (100%) in hybrid repair. Mean follow‐up was 31 ± 28 months (median 26 months). Two‐ and five‐year survival rates were 57%, and 34% for the open approach and 71%, and 43% for the endovascular approach respectively.
Conclusions
Both open and endovascular thoracic aortic repairs can be performed with favorable mortality and perioperative morbidity in appropriately selected octogenarian patients. doi: 10.1111/jocs.12722 (J Card Surg 2016;31:334–340)</description><subject>Aged, 80 and over</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Aorta, Thoracic - surgery</subject><subject>Aortic Aneurysm, Thoracic - diagnosis</subject><subject>Aortic Aneurysm, Thoracic - mortality</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Diagnostic Imaging</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Florida - epidemiology</subject><subject>Follow-Up Studies</subject><subject>Hospital Mortality - trends</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Stents</subject><subject>Survival Rate - trends</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><issn>0886-0440</issn><issn>1540-8191</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kM1OwzAQhC0EoqVw4QFQjlxSbCexnWOpIIAKQWoR3CzH2YJLExc7Bfr2pD90tdKutPONVoPQOcF90tbVzGrfJ5RTeoC6JIlxKEhKDlEXC8FCHMe4g068n2FMaRzhY9ShHBOepLyL3vIFONWYbwhUXQaPpgwn4KogXzbaVuADOw0mH9YpbXQwsK5pxw6xdWDqINeNfYdaOaNqv_G4hpWty1N0NFVzD2e72UMvtzeT4V04yrP74WAU6jgSNBQFT6B9K6WMpiylWBVAFaFCt53qgpRpEZWMiYjFlDEVC04wEUkBYgqUx1EPXW59F85-LcE3sjJew3yuarBLLwkXLGn9MWulFzvpsqiglAtnKuVW8j-NVkC2gh8zh9X-TrBc5yzXOctNzvIhH443W8uEW8b4Bn73jHKfkvGIJ_L1KZNjlowy9nwts-gPoG59lw</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Karimi, Ashkan</creator><creator>McCord, Matthew R.</creator><creator>Beaver, Thomas M.</creator><creator>Martin, Tomas D.</creator><creator>Hess, Philip J.</creator><creator>Beck, Adam W.</creator><creator>Feezor, Robert J.</creator><creator>Klodell, Charles T.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond</title><author>Karimi, Ashkan ; McCord, Matthew R. ; Beaver, Thomas M. ; Martin, Tomas D. ; Hess, Philip J. ; Beck, Adam W. ; Feezor, Robert J. ; Klodell, Charles T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4382-8b75e224926296920abe2a128c28c9cb1d9b3d668364266a48710185be8fe2743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged, 80 and over</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Aorta, Thoracic - surgery</topic><topic>Aortic Aneurysm, Thoracic - diagnosis</topic><topic>Aortic Aneurysm, Thoracic - mortality</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Diagnostic Imaging</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Florida - epidemiology</topic><topic>Follow-Up Studies</topic><topic>Hospital Mortality - trends</topic><topic>Humans</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Stents</topic><topic>Survival Rate - trends</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Karimi, Ashkan</creatorcontrib><creatorcontrib>McCord, Matthew R.</creatorcontrib><creatorcontrib>Beaver, Thomas M.</creatorcontrib><creatorcontrib>Martin, Tomas D.</creatorcontrib><creatorcontrib>Hess, Philip J.</creatorcontrib><creatorcontrib>Beck, Adam W.</creatorcontrib><creatorcontrib>Feezor, Robert J.</creatorcontrib><creatorcontrib>Klodell, Charles T.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiac surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Karimi, Ashkan</au><au>McCord, Matthew R.</au><au>Beaver, Thomas M.</au><au>Martin, Tomas D.</au><au>Hess, Philip J.</au><au>Beck, Adam W.</au><au>Feezor, Robert J.</au><au>Klodell, Charles T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond</atitle><jtitle>Journal of cardiac surgery</jtitle><addtitle>J Card Surg</addtitle><date>2016-05</date><risdate>2016</risdate><volume>31</volume><issue>5</issue><spage>334</spage><epage>340</epage><pages>334-340</pages><issn>0886-0440</issn><eissn>1540-8191</eissn><abstract>ABSTRACT
Objectives
To study the short and mid‐term outcomes of thoracic aortic operations in patients ≥80 years old.
Methods
This is a retrospective chart review of patients ≥80 years old who underwent thoracic aortic operation in our institution between 2006 and 2013.
Results
Ninety‐eight patients were studied. Fifty‐four patients underwent open repair; 41 underwent endovascular repair; and three underwent hybrid repair with aortic arch debranching and subsequent endovascular stent graft. Hospital mortality rate among the entire cohort was 11/98 (11%): 7/54 (13%) for open repair; 2/41 (5%) for endovascular repair; and 2/3 (66%) for hybrid repair. Major adverse events occurred in 23/98 (23%) in the entire cohort: 15/54 (28%) in open repair; 5/41 (12%) in endovascular repair; and 3/3 (100%) in hybrid repair. Mean follow‐up was 31 ± 28 months (median 26 months). Two‐ and five‐year survival rates were 57%, and 34% for the open approach and 71%, and 43% for the endovascular approach respectively.
Conclusions
Both open and endovascular thoracic aortic repairs can be performed with favorable mortality and perioperative morbidity in appropriately selected octogenarian patients. doi: 10.1111/jocs.12722 (J Card Surg 2016;31:334–340)</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>27017597</pmid><doi>10.1111/jocs.12722</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged, 80 and over Aorta, Thoracic - diagnostic imaging Aorta, Thoracic - surgery Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - mortality Aortic Aneurysm, Thoracic - surgery Blood Vessel Prosthesis Implantation - methods Diagnostic Imaging Endovascular Procedures - methods Female Florida - epidemiology Follow-Up Studies Hospital Mortality - trends Humans Male Retrospective Studies Stents Survival Rate - trends Time Factors Tomography, X-Ray Computed |
| title | Operative and Mid-Term Outcomes of Thoracic Aortic Operation in Octogenarians and Beyond |
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