GÜLSÜM TÜRKYILMAZ, MEHMET ALİ YEŞİLTAŞ, ONUR EMRE SATILMIŞ, HASAN TOZ, YUSUF KUSERLİ, SAYGIN TÜRKYILMAZ, ALİ AYCAN KAVALA
Medical Journal of Bakırköy - 2025;21(2):199-206
OBJECTIVE With the increase in life expectancy, the octogenarian population is expected to increase in our country as well as in the whole world. We aimed to examine the periprocedural and early period mortality, morbidity, and functional status of the patients to whom we applied endovascular aortic repair (EVAR) electively. METHODS The data of all patients aged 80 years and older who applied to our clinic with the diagnosis of abdominal aortic aneurysm (AAA) between January 2014 and December 2023, and who underwent elective EVAR, were analyzed retrospectively. Mortality and morbidity of all patients were evaluated during the periprocedural period and in the early postoperative period. Patients were evaluated according to the Karnofsky performance status scale and their quality of life. RESULTS EVAR was applied to 36 patients. The mean age of the octogenarian patient group in our study was 84 (80-91) years. Patients are mostly male (83.3%). The procedure was performed under general anesthesia in all patients. One unit of erythrocyte suspension was used. it was observed that there was no endoleak on the 30th day. The procedure was completed successfully in all patients. There was no mortality in the 30-day follow-up. Improvement was observed with all patients in Karnofsky scoring both on the 2nd postoperative day and on the 30th day. CONCLUSION EVAR, which has equal success with open surgery in patients with AAA in the octogenarian, will significantly reduce operative morbidity, intensive care unit, and hospital stay and cost when performed in an experienced and high-volume center. In addition, we believe that these patients who are octogenarians improve their performance more quickly.
