ENDOVASCULAR REPAIR OF ABDOMINAL AORTIC ANEURYSMS IN NONAGENARIANS

G.J. Katlaps, Md, Ye.G. Wolf, Md, T.J. Fogarty, Md, C.K. Zarins, Md
Department of Surgery, Division of Vascular Surgery Stanford University Medical Center,
Stanford, CA, USA

Endovascular repair of abdominal aortic aneurysms (AAA) is associated with a lower postoperative morbidity rate and earlier return of function compared to open surgical repair. These benefits are counterbalanced by the need for long-term periodic imaging and uncertainty regarding durability of the repair due to lack of long-term follow-up. In the very old, a less invasive procedure with decreased morbidity and rapid return to baseline function is of utmost importance and the lack of long-term follow-up is less of a concern. Thus, endovascular treatment of AAA is particularly appealing in these patients. We report here on endovascular repair of AAA in two patients over 90 years of age and focus on features typical for this age group.

P. 48

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