TEVAR Octogenarian QuickShot Hughes

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Information about TEVAR Octogenarian QuickShot Hughes

Published on June 8, 2016

Author: DanielleRobinson34

Source: slideshare.net

1. Endovascular Repair of Thoracic Aortic Aneurysms in Octogenarians and Nonagenarians Danielle Robinson,1 Ourania Preventza,2 Augustine Obirieze,1 Daniel Tran,1 David Rose,1 Thomas Obisesan,1 Edward Cornwell III,1 Kakra Hughes1 1Howard University College of Medicine and Hospital, Washington, D.C. 2Baylor College of Medicine andTexas Heart Institute, Houston, Texas

2. Introduction  Endovascular repair of thoracic aortic aneurysms (TEVAR) has become an established technique  Lack of data demonstrating the efficacy of TEVAR in the most elderly on a national level Objective  To determine the postoperative outcomes of thoracic aortic aneurysm endografting in octogenarians and older Methods  NIS Database was queried to identify adult patients who had undergone an open repair or TEVAR from 2001 – 2010  Multivariable logistic regression was performed Background

3. Pre-Operative Comorbidities 43% 36% 65% 45% 0 10 20 30 40 50 60 70 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Cardiac 17% 33% 18% 27% 0 5 10 15 20 25 30 35 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Pulmonary 3% 12% 7% 16% 0 2 4 6 8 10 12 14 16 18 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Renal • Open < 80: n = 10,079 • Endo < 80: n = 1,571 • Open ≥ 80: n = 634 • Endo ≥ 80: n = 370

4. Post-Operative Complications 3% 2% 5% 3% 0 1 2 3 4 5 6 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Neurologic 3% 3% 7% 5% 0 1 2 3 4 5 6 7 8 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Mortality 5% 2% 9% 3% 0 1 2 3 4 5 6 7 8 9 10 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Respiratory 15% 4% 21% 5% 0 5 10 15 20 25 Open < 80 Endo < 80 Open ≥ 80 Endo ≥ 80 Cardiac

5. Odds Ratio Odds Ratios

6. Conclusions Endovascular treatment of thoracic aortic aneurysms in patients 80 and older is a viable option with decreased morbidity and mortality TEVAR may be an attractive option for the very elderly Conclusions

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