CAROTID ARTERY SURGERY IN PATIENTS 80 YEARS AND OLDER: EARLY AND LATE RESULTS

F. Mercier, E. Braunberger, P. Julia, Ju.N. Fabiani
Broussais Hospital,
Paris, France

Carotid artery surgery is the most effective preventive treatment of stroke in patient with carotid artery stenosis over 70%, the patient should be symptomatic or not. Although, prospective studies as N.A.S.C.E.T, A.C.A.S, and E.C.S.T, did not included patients aged over 80 years old, stroke incidence is thighly correlated to the age of the patient. The risk of a stroke rises from 1 to 6 fold for the patients between 60 and 80 years old. Six months after a stroke only 33% of the patients aged over 80 years will survive. As the population is aging one will face increasing numbers of patients with stroke sequel which also means a high medical cost. Nowadays elderly patients arc often in a good mental and physical shape. We wondered whether preventive carotid artery surgery was worthwhile in this population. We studied the perioperative risk and the long term benefit in our patients over 80 years old.

KEY WORDS: carotid artery surgery, octopenerian patients.

P. 81

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