Carotid endarterectomy is safe for octogenarians

AbstractBackgroundCarotid endarterectomy (CEA) has demonstrated superior results in stroke risk reduction for patients with symptomatic and asymptomatic high-grade carotid stenosis. However, this benefit has long been questioned for the elderly and high-risk populations. In the present study, we aim...

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Bibliographic Details
Published in:Journal of vascular surgery 2023-01, Vol.77 (1), p.176-181
Main Authors: Qumsiyeh, Yazen, MD, Siada, Sammy, DO, Yan, Yueqi, PhD, Dirks, Rachel, PhD, Ali, Amna, MD, Daneshvar, Meelod, MD, O’Banion, Leigh Ann, MD, FACS
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Carotid endarterectomy
Carotid Stenosis - complications
Carotid Stenosis - diagnostic imaging
Carotid Stenosis - surgery
CEA
Endarterectomy, Carotid - adverse effects
Female
Humans
Male
Middle Aged
Octogenarians
Retrospective Studies
Risk Assessment
Risk Factors
Stroke
Surgery
Treatment Outcome
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Summary:AbstractBackgroundCarotid endarterectomy (CEA) has demonstrated superior results in stroke risk reduction for patients with symptomatic and asymptomatic high-grade carotid stenosis. However, this benefit has long been questioned for the elderly and high-risk populations. In the present study, we aimed to provide high-volume, single-institution data with long-term follow-up examining the risk factors for postoperative stroke and stroke-free survival stratified by age for asymptomatic and symptomatic patients undergoing CEA. MethodsA single-institution retrospective review of 840 consecutive patients who had undergone CEA from 2011 to 2018 was performed, inclusive of both symptomatic and asymptomatic operative indications. The primary end point was perioperative stroke within 30 days of surgery. The secondary end points were late stroke, death, and myocardial infarction. Patients aged >80 years were compared with those aged 
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2022.07.169