Vascular Surgery and Geriatric Patients

被引:11
作者
Halandras, Pegge M. [1 ]
机构
[1] Loyola Univ Chicago, Dept Vasc Surg & Endovasc Surg, Stritch Sch Med, 2160 South First Ave,EMS Bldg 110,Room 3220, Maywood, IL 60153 USA
关键词
Delirium; Frailty; Aortic aneurysm; Carotid artery endarterectomy; Critical limb ischemia; End stage renal disease; AORTIC-ANEURYSM REPAIR; RISK-FACTORS; CAROTID-ENDARTERECTOMY; OCTOGENARIANS; AGE; MORTALITY; OUTCOMES; DELIRIUM; LIFE;
D O I
10.1016/j.cger.2018.08.008
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
As the population ages, surgical decision-making in vascular surgery has become more complex. Older patients may not have been offered vascular surgical intervention in the past because of prohibitive physiologic demands and poor health. Patients now have more aggressive management of vascular risk factors with medications, such as statin therapy, and less invasive endovascular or hybrid treatment options. Outcomes in elderly patients may not be comparable with younger patients for entities such as aortic aneurysm repair, carotid endarterectomy, or lower extremity revascularization. Despite this, desirable outcomes can be successfully achieved and should be offered to carefully selected elderly individuals.
引用
收藏
页码:93 / +
页数:11
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