Carotid Endarterectomy in the Octogenarian

Kellie A. Coyle, Robert B. Smith, Atef A. Salam, Thomas F. Dodson, Elliot L. Chaikof, Alan B. Lumsden

Research output: Contribution to journalArticle

41 Scopus citations

Abstract

During a 10-year period from January 1983 to December 1992, 79 carotid endarterectomies were performed in patients aged 80 years or older. This represented 7.4% of the total patient population undergoing carotid endarterectomy at Emory University Hospital. The indications for surgery in this elderly population were transient ischemic attacks in 24 (30.3%), cerebrovascular accident in 12 (15.2%), amaurosis fugax in seven (8.9%), vascular tinnitus in one (1.3%), and asymptomatic stenosis in 35 (44.3%). The average degree of ipsilateral stenosis was 76.8%. Concomitant risk factors included coronary artery disease in 43%, systemic arterial hypertension in 51.9%, diabetes mellitus in 10.1%, and significant smoking history in 53.2%. Seventy-six percent of the procedures were performed under local anesthesia, and in all but two intraluminal shunts were used. Combined 30-day mortality and postoperative stroke morbidity in this population was 1.3% (one patient). Long-term follow-up ranging from 1 to 10 years (average 35 months) revealed no ipsilateral strokes. This experience suggests that carotid endarterectomy can be performed in an elderly population with morbidity and mortality rates similar to those in a younger cohort.

Original languageEnglish (US)
Pages (from-to)417-420
Number of pages4
JournalAnnals of Vascular Surgery
Volume8
Issue number5
DOIs
StatePublished - Jan 1 1994

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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