P237. Outcome of Treatment for Stanford Type A Acute Aortic Dissection in Over 85 years Old Patients – Medical or Surgical?
Presented During: POD Abstracts (Available for viewing in the exhibit hall for the duration of the meeting)
Shimotsuga-gun
Japan - Contact Me
2015-2017 Assistant Professor, Department of Cardiac and Vascular Surgery, Dokkyo medical University, Japan
2017-2021 Assistant Professor, Department cardiovascular Surgery, Gunma prefectural cardiovascular center, Japan
2021-present Assistant Professor, Department of Cardiac and Vascular Surgery, Dokkyo medical University, Japan
Thursday, April 25, 2024: 5:38 PM - 7:00 PM
Sheraton Times Square
Room: Central Park
Description
We reviewed our outcomes of treatment for Stanford Type A acute aortic dissection (TAAD) in over 85 years old patients.
In January 2010- August 2019, 41 patients at over 85 years old had diagnosed TAAD. We compare the outcomes between the surgical treatment group (N=23) and the medical treatment group (N=18).
There were no significant differences in the patient's characteristics between each group. All operative procedure was ascending aorta graft replacement.
In the surgical treatment group, hospital mortality was 17% (4/23 cases). Only five patients were discharged without any complications (22%). The remaining 14 patients transferred to other hospital for any other complications or rehabilitation.
In the medical treatment group, hospital mortality was 28% (5/18 cases). Only four patients were discharged without any complications (22%). The remaining 9 patients transferred to other hospital.
The average follow-up period was 450 days and the follow up rate was 95.1%In Kaplan-Meier survival analysis, there was no significant difference in the overall survival. But 1-year survival rate of surgical treatment group was 71.5% and better than that of medical treatment group (55.0%)
We cannot say that the outcomes of surgical treatment for TAAD patients at over 85 years old was overwhelming better than that of medical treatment. Therefore, we should consider the treatment strategy more carefully for an individual patient.
Authors
Yuta Kanazawa (1), Hirotsugu Fukuda (2), Masahiko Ezure (3)
Institutions
(1) Dokkyo Medial University Hospital, Japan, (2) Dokkyo Medial University Hospital, Mibu,Tochigi, Japan, (3) Gunma Prefectural Cardiovasvular Center, Maebashi, Gunma
In January 2010- August 2019, 41 patients at over 85 years old had diagnosed TAAD. We compare the outcomes between the surgical treatment group (N=23) and the medical treatment group (N=18).
There were no significant differences in the patient's characteristics between each group. All operative procedure was ascending aorta graft replacement.
In the surgical treatment group, hospital mortality was 17% (4/23 cases). Only five patients were discharged without any complications (22%). The remaining 14 patients transferred to other hospital for any other complications or rehabilitation.
In the medical treatment group, hospital mortality was 28% (5/18 cases). Only four patients were discharged without any complications (22%). The remaining 9 patients transferred to other hospital.
The average follow-up period was 450 days and the follow up rate was 95.1%In Kaplan-Meier survival analysis, there was no significant difference in the overall survival. But 1-year survival rate of surgical treatment group was 71.5% and better than that of medical treatment group (55.0%)
We cannot say that the outcomes of surgical treatment for TAAD patients at over 85 years old was overwhelming better than that of medical treatment. Therefore, we should consider the treatment strategy more carefully for an individual patient.
Authors
Yuta Kanazawa (1), Hirotsugu Fukuda (2), Masahiko Ezure (3)
Institutions
(1) Dokkyo Medial University Hospital, Japan, (2) Dokkyo Medial University Hospital, Mibu,Tochigi, Japan, (3) Gunma Prefectural Cardiovasvular Center, Maebashi, Gunma
Presentation Duration
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