{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,2]],"date-time":"2025-03-02T02:40:25Z","timestamp":1740883225075,"version":"3.38.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2001,12,1]],"date-time":"2001-12-01T00:00:00Z","timestamp":1007164800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovascular Surgery"],"published-print":{"date-parts":[[2001,12]]},"abstract":"<jats:p> Patients over 80 yr of age may require carotid surgery for symptomatic or critical asymptomatic carotid artery occlusive disease. <\/jats:p><jats:p> A total of 2262 operations were performed between 1990 and 1999; 76 (3.4%) were carotid reconstructions in 70 patients over 80 yr of age. Twenty patients (26%) presented with asymptomatic critical stenosis. Transient ischemic symptoms were the reason for presentation in 35 patients (46%). Progressive stroke was documented in two patients (3%) and a stroke with persisting neurological deficit was demonstrated in 19 cases (25%). <\/jats:p><jats:p> Coronary artery disease was present in 47 patients (38%) and arterial hypertension in 55 (72%). Fifty-nine patients (84%) were classified as ASA group 3. Seventy-one thromboendarterectomies of the carotid bifurcation with vein-patch closure were performed. Five patients had other types of reconstruction. <\/jats:p><jats:p> Simultaneous operations (aorto-coronary vein-bypass, aortic interposition graft etc.) were performed in nine patients. Postoperative complications occurred in three patients. One had a transient neurological deficit and another a lethal stroke; the third patient died from myocardial infarction. <\/jats:p><jats:p> The in-hospital mortality was 2.9%, which was not significantly higher than the results of the other 2186 reconstructions (1.5%). <\/jats:p><jats:p> Surgery for carotid artery occlusive disease can be safely performed in selected patients of more than 80 yr of age. <\/jats:p>","DOI":"10.1177\/096721090100900606","type":"journal-article","created":{"date-parts":[[2024,9,23]],"date-time":"2024-09-23T18:24:43Z","timestamp":1727115883000},"page":"552-558","source":"Crossref","is-referenced-by-count":0,"title":["Reconstructive Surgery for Carotid Artery Occlusive Disease in the Elderly \u2014 a High Risk Operation?"],"prefix":"10.1177","volume":"9","author":[{"given":"A.","family":"Ommer","sequence":"first","affiliation":[{"name":"Heinrich-Heine-University Duesseldorf, Department for Vascular Surgery and Kidney Transplantation, Moorenstra\u00dfe 5, 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