Evaluation and Comparison of Postoperative Outcomes of Octogenarians and Non-Octogenarians Undergoing Carotid Endarterectomy

Abstract

Introduction: The aim of this study was to compare and evaluate the postoperative outcomes of carotid endarterectomy (CEA) in symptomatic and asymptomatic octogenarians and younger patients in a single institution, if octogenarians are eligible for CEA. Methods: A total of 190 patients (149 males, 41 females; mean age 69.59 ± 9.87 years; range 47 to 92 years) who underwent eversion or conventional CEA with patchplasty, under general or local anesthesia, were included in this study. Results: No statistically significant difference was found in terms of postoperative death (p = 1), postoperative stroke (p = 0.592), and postoperative bleeding (p = 0.659), while blood creatinine level was significantly higher in octogenarians. Postoperative stroke and death were seen in none of the octogenarians, although 4 postoperative deaths and 6 major strokes were seen among non-octogenarians. No difference was found in females (octogenarians vs. non-octogenarians) in terms of death (p = 1.00) and stroke (p = 1.00) and no difference was found in males (octogenarians vs. non-octogenarians) in terms of death (p = 1.00) and stroke (p = 1.00). Conclusion: We thought that CEA remains the most efficient treatment modality among symptomatic and asymptomatic octogenarians with severe carotid artery stenosis and no difference was found compared to non-octogenarians. Advanced age should not be considered as a high-risk group and selected octogenarians are good candidates for CEA. © 2019, Springer-Verlag GmbH Austria, part of Springer Nature.