Abstract
A retrospective review of the National Inpatient Sample (NIS) database from 2002 to 2014. Of 394,504 octogenarian patients, 184,926 (47%) underwent surgical revascularization and 209,578 (53%) underwent endovascular intervention (EVI). Multivariate analysis revealed that the EVI group had significantly lower in-hospital mortality, myocardial infarction, stroke, acute kidney injury, and limb amputation compared with the surgical group. The EVI group had a significantly greater risk of bleeding and vascular complications compared with the surgical group. The use of EVI in octogenarians is associated with a lower risk of in-hospital mortality and adverse cardiovascular and limb outcomes compared with surgical revascularization.
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