This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Madsen, P. V. Articles by Engell, H. C. Search for Related Content PubMed Articles by Madsen, P. V. Articles by Engell, H. C. Social Bookmarking                         What's this?

Vascular Surgery in Senescence Carotid Endarterectomy in Patients over 70 Years

Surgical Department D, Division of Vascular Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

Torben Schroeder

Surgical Department D, Division of Vascular Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

Hans Christian Engell

Surgical Department D, Division of Vascular Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark

In order to evaluate the immediate and long-term results of carotid endar terectomy in patients over seventy years of age, 54 patients undergoing a total of 59 surgical procedures were followed for a mean time of forty-three months. There was no operative mortality. Perioperative central neurological complica tions developed in 18 patients (33%), 9 (17%) of whom suffered permanent neurological deficits. During the follow-up period we found an annual stroke rate of 5% according to life table arialysis. The five-year survival rate was 67%. At termination of follow-up or before death, 85% of the patients lived indepen dently in their own homes. Compared with younger age groups, carotid endar terectomy in senescence yielded poorer results in terms of immediate and late neurological status. The old patients had, however, the same life expectancy as a contemporary age- and sex-matched population and had to a remarkable degree been able to maintain an independent life.

Vascular and Endovascular Surgery, Vol. 21, No. 2, 77-81 (1987)
DOI: 10.1177/153857448702100201


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?