{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:54:42Z","timestamp":1777593282119,"version":"3.51.4"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>With an increasing life expectancy, more octogenarian patients are referred with complex aortic aneurysms (cAAA). The aim of this study was to evaluate short and mid-term outcomes following fenestrated aortic repair (FEVAR) in octogenarians.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Background:<\/jats:title>\n            <jats:p>Few studies looking at octogenarian-specific outcomes with diverging results.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>Retrospective, multicentre cohort study including consecutive patients undergoing elective FEVAR for cAAAs or type IV thoracoabdominal aortic aneurysms between 2007 and 2022 in 8 high-volume centres. Octogenarians versus nonoctogenarians were compared. The primary outcome was 30-day mortality. Secondary outcomes included 1-, 2-, and 5-year survival and reintervention rates.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>A total of 729 patients [median age of 74.8 years (IQR: 69.2\u201379.14 years)] were included, 169 (23%) of which were octogenarians, with 316 (43.3%) patients undergoing juxtarenal\/pararenal aneurysm repair. Although octogenarians presented less complex but larger (61 vs 58\u00a0mm) aneurysms, the number of fenestrations was similar across groups. No differences in in-hospital mortality (4.1% vs 3.0%), MAE (16.6% vs 12.2%) or reintervention rates (11.2% vs 10%) were found. Multivariable logistic regression of in-hospital mortality identified BMI (OR=0.66, 95% CI: 0.51\u20130.95, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.003), chronic heart failure (OR=7.70, 95% CI: 1.36\u201336.15, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.003), and GFR&lt;45\u00a0mL\/min\/1.73\u00a0m<jats:sup>2<\/jats:sup> (OR=5.25, 95% CI: 1.20\u201322.86, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.027) as independent predictors. Median follow-up was 41 months. The 1-, 2-, and 5-year survival rates were 91.3%, 81.8%, and 49.5% in octogenarians versus 90.6%, 86.5%, and 68.8% in nonoctogenarian patients (log-rank=0.001). Freedom from aortic-related death and freedom from reintervention at 5 years were similar across groups (log-rank=0.94 and 0.76, respectively). Age above 80 years was not an independent predictor of 30-day or long-term mortality on multivariable and Cox regression analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Elective FEVAR in octogenarians appears to be safe, with similar outcomes as in younger patients. Future studies looking at improved patient selection methods to ensure long-term survival benefits in both octogenarians and younger patients are warranted.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/sla.0000000000006300","type":"journal-article","created":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T08:04:16Z","timestamp":1713773056000},"page":"328-338","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["International Collaborative Study Comparing Outcomes of Fenestrated Endovascular Aortic Repair in Octogenarian Versus Nonoctogenarian Patients"],"prefix":"10.1097","volume":"282","author":[{"given":"Carlota F.","family":"Prendes","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany"},{"name":"Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden"}]},{"given":"Paolo","family":"Spath","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany"},{"name":"Department of Vascular Surgery, University of Bologna\u2014DIMEC, Bologna, Italy"}]},{"given":"Manar","family":"Khashram","sequence":"additional","affiliation":[{"name":"Department of Vascular & Endovascular Surgery, Waikato Hospital, Waikato, New Zealand"}]},{"given":"Nuno","family":"Dias","sequence":"additional","affiliation":[{"name":"Vascular Center, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}]},{"given":"Federico","family":"Furlan","sequence":"additional","affiliation":[{"name":"Unit of Vascular and Endovascular Surgery, General Surgery Department, ASUFC, Hospital of Udine, Udine, Italy"},{"name":"Department of Cardiac, Thoracic and Vascular Sciences, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Padova, Italy"}]},{"given":"Ryan","family":"Gouveia e Melo","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universit\u00e1rio Lisboa Norte (CHULN), Lisbon, Portugal"}]},{"given":"Enrico","family":"Gallitto","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Bologna\u2014DIMEC, Bologna, Italy"},{"name":"Vascular Surgery Unit, IRCCS University Hospital Policlinico S.Orsola, Bologna, Italy"}]},{"given":"Bj\u00f6rn","family":"Sonesson","sequence":"additional","affiliation":[{"name":"Vascular Center, Sk\u00e5ne University Hospital, Malm\u00f6, Sweden"}]},{"given":"Luis","family":"Mendes Pedro","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, Hospital Santa Maria, Centro Hospitalar Universit\u00e1rio Lisboa Norte (CHULN), Lisbon, Portugal"}]},{"given":"Sinead","family":"Gormley","sequence":"additional","affiliation":[{"name":"Department of Vascular & Endovascular Surgery, Waikato Hospital, Waikato, New Zealand"}]},{"given":"Mauro","family":"Gargiulo","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Bologna\u2014DIMEC, Bologna, Italy"},{"name":"Vascular Surgery Unit, IRCCS University Hospital Policlinico S.Orsola, Bologna, Italy"}]},{"given":"Anders","family":"Wanhainen","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden"}]},{"given":"Nikolaos","family":"Tsilimparis","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Ludwig-Maximilians-University Hospital, Munich, Germany"}]},{"given":"Kevin","family":"Mani","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, 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