Is evar appropriate for octogenarian population?Our experience

Objective: to present our experience of endovascular treatment of abdominal aortic aneurysm (EVAR) in octogenarians and evaluate the problems of this type of treatment. Between 2004 and 2008 we treated 642 AAA, 567 with open repair and 75 with endovascular repair.. Thirty-five patients treated with endovascular repair were octogenarians, 32 males and 3 females. No death, aortic or iliac rupture were observed in perioperative period.perioperative complications occurred in 19 cases: 6 cases of fever (17.1%), 5 GROIN COMPLICATIONS (14.3%) as dehiscence, 3 cardiac (8.5%), 2 renal, 2 pulmonary (5.7%), and 1 peripheral vascular complication, limb ischemia (2,8%). Conversion rate of endovascular treatment to open surgical operation was 0. The mean follow-up was 31,7 months (range 1-54 months);during this period we observed nine cases of endoleaks (25.7%), one patien tneeded endovascular secondary procedure (2.g%) and three surgical secondary procedure (8.5%) crossover bypass. AAA-rst3tsi mortality was 2.g% (1 patient), white non AAA-rst3tsd mortality was 11.4% (4 patients). Conclusions: Elective EVAR seems a safe, and effective procedure in patients older than 80 years. Age atone should not preclude patients for being offered endovascular aneurysm repair. our study supports that EVAR could be considered the preferred approach to MA repair for property, upon anatomic criteria-selected octogenarian patients. Longer follow-up will be necessary to determine the incidence of the observed late type ll endoleaks