Carotid endarterectomy in octogenarians with symptomatic high-grade internal XXXX : long-term clinical and duplex follow-up.

@entity1 @entity64 @entity256 @entity543 @entity204
The objective of this study was to evaluate the clinical and duplex outcome after carotid endarterectomy (CEA) in recently symptomatic @entity1 aged 80 years or older. Information was assembled from a prospective data collection of all CEAs performed from January 1986 to December 1999. Included were all @entity1 with recently symptomatic @entity543 who were aged 80 years or older at time of operation. Thirty-two @entity1 , with a mean age of 82 years, were included. Outcome events were @entity64 , @entity204 , and @entity256 (more than 50% diameter reduction) during routine duplex scan follow-up. Conventional surgical technique was used regarding anesthesia and selective shunting or patching. None of the operated-on @entity1 suffered a @entity64 at any time during follow-up. One @entity1 (3.1%) died in the early postoperative phase (<30 days). An additional 8 @entity1 died during follow-up. None of these deaths were of cerebrovascular origin. Survival at 3 years was 73% (life table analysis). Routine duplex scan follow-up showed 2 @entity1 with a diameter reduction of more than 50%, both 3 months after CEA. @entity256 rate on duplex scan was 7.4% after 1 year. The authors conclude that there seems to be no reason to deny the very elderly the benefits of CEA. @entity64 -free survival and survival rates show that carotid surgery is a safe procedure in @entity1 aged 80 and over who are in apparently good health. These findings are supported by a low incidence of @entity256 on duplex scan follow-up, indicating a durable repair.
