Abstract
To evaluate the open surgery as well as the endovascular treatment of abdominal aortic aneurysms (AAA) in octogenarians. Twenty AAA cases aging from 80 to 90 in the past six years were reviewed. Open surgery on 12 patients and endovascular repair on the other 8 ones were performed. During peri-operation, there were 2 mortality from the surgical group among all 20 cases. The endovascular group underwent significantly better operational procedure and complication situation than the surgical one. Eighteen cases were followed up for 3-69 months (average months) except for 2 patients of surgical group. Both group suffered 2 late mortality. The accumulated survival rate were 6/10 in the surgical group and 6/8 in the endovascular group, respectively. Surgical treatment in applicable for octogenarians with AAA. The endovascular repair was preferable to suitable cases.
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