Open repair of descending and thoracoabdominal aortic aneurysms in octogenarians
Open repair of descending and thoracoabdominal aortic aneurysms in octogenarians
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DOI：
10.1016/j.jvs.2017.12.083
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发表时间：
2018-11-01
影响因子：
4.3
通讯作者：
Gaudino, Mario
中科院分区：
文献类型：
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作者：
Girardi, Leonard N.;Lau, Christopher;Gaudino, Mario
目的：尽管胸降主动脉瘤（DTA）和胸腹主动脉瘤（TAAA）的开放修复术的结局有所改善，但这些手术在老年人中仍然具有挑战性。不适合胸主动脉腔内修复术的患者需要开放手术以避免灾难性破裂。我们分析了这些老年患者的DTA/TAAA修复结果。方法：查询我们的机构主动脉数据库，以确定>= 80岁和= 80岁的患者。老年人更可能是女性（P= 0.018），患有慢性肺病（P= 0.012），严重的外周血管疾病（P
Objective: Despite improved outcomes for open repair of descending thoracic aneurysm (DTA) and thoracoabdominal aortic aneurysm (TAAA), these operations remain challenging in octogenarians. Patients unsuitable for thoracic endovascular aortic repair require open surgery to avoid catastrophic rupture. We analyzed our results for DTA/TAAA repair in these elderly patients.Methods: Our institutional aortic database was queried to identify those >= 80 years old and those = 80 years old. Octogenarians were more likely to be female (P=.018), with chronic pulmonary disease (P=.012), severe peripheral vascular disease (P