Endoluminal thoracic aortic repair in the octogenarian and nonagenarian: The New Zealand experience

Introduction The aim of this study was to review the New Zealand‐wide experience of thoracic endovascular aortic repair to determine effect of age on outcome. Methods This was an observational, retrospective analytic study comparing two age groups. The New Zealand Thoracic Aortic Stent (NZTAS) regis...

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Bibliographic Details
Published in:Journal of medical imaging and radiation oncology 2015-02, Vol.59 (1), p.39-46
Main Authors: Buckenham, Tim, Pearch, Ben, Wright, Isabel
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Age Distribution
Aged, 80 and over
aneurysm
Aorta, Thoracic - injuries
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - mortality
Aortic Aneurysm, Thoracic - surgery
dissection
Endovascular Procedures - mortality
Female
Hospital Mortality
Hospitals
Humans
Incidence
Male
Middle Aged
Mortality
New Zealand
Postoperative Complications - mortality
Registries
Retrospective Studies
Risk Assessment
Risk factors
Sex Distribution
Survival Rate
thoracic endoluminal repair
Treatment Outcome
Young Adult
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Summary:Introduction The aim of this study was to review the New Zealand‐wide experience of thoracic endovascular aortic repair to determine effect of age on outcome. Methods This was an observational, retrospective analytic study comparing two age groups. The New Zealand Thoracic Aortic Stent (NZTAS) registry was reviewed for patient demographics, indications for repair, risk factors, technical success, complications, length of hospital stay and in‐hospital mortality. Results The 264 patients were divided into two groups: 80 years on the day of the procedure (Group II, n = 19). Group II comprised 11 males and 8 females with a mean age (range) of 84 (80–90) years. Using the Society of Thoracic Surgeons's scoring system for risk factors, there was no significant difference between the groups. Technical success was 84% (n = 16) in Group II. The mean hospital stay in Group II was 20 (2–90) days and the in‐hospital mortality 16% (n = 3). None of these outcomes was significantly different to those in the under 80 group (Group I). Conclusions Data from NZTAS registry show outcomes and risk factors do not significantly differ between the two age groups.
ISSN:1754-9477
1754-9485
DOI:10.1111/1754-9485.12263