Document Details Document Type : Article In Journal  Document Title : Vascular Surgery in the Elderly: Experience in a Developing Country Vascular Surgery in the Elderly: Experience in a Developing Country   Subject : Vascular Surgery  Document Language : English  Abstract : In Saudi Arabia, the number of elderly people is steadily increasing. Over a six-year period, 95 (;onsecutive patients aged 70 years and over were managed in a Saudi vascular unit. There were 55 males and 40 females and the mean age was 75.8 years (range 70-100 years). Sixty-seven (70.5%) patients presented with mainly critical chronic lower limb ischaemia, 21 (22.1%) with acute lower limb ischaemia and onty seven (7.4%.) had abdominal aortic aneurysm (AM). Forty patients (42%) were managed conservatively, i.e., no reconstructive vascular procedure was performed according to certain exclusion criteria, The other 55 (58"/0) were managed surgically and underwent a total of 63 vascular procedures to revascularise 72 limbs. There were 43 (68.2%) primary reconstructive bypass surgical procedures oharious types, '19 thromboembolectomies and only one angioplasty. The results in both groups were compared aCC'Jrdingto the main two endpoints, namely: 1) death (within two months of admis!!ion and/or after procedure); and 2) major amputation (below- or above-knee amputation) within one year in the ischaemic group. Asignificantly low amputation rate was found in the surgical group compared with the conservative group (10.9% vs. 32.5%). furthermore, the mortality rate was lower in the surgical group than in the conservative group (7.3% V$. 20.0%), Inview of our data, an active surgical reconstructive approach isrecommended whenever possible, irrespective of the patient'S age  ISSN : 1015-9584  Journal Name : Asian Journal of Surgery  Volume : 19  Issue Number : 4  Publishing Year : 1416 AH 1996 AD  Article Type : Article  Added Date : Tuesday, August 25, 2009  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email حسن الزهراني Al-Zahrani, Hasan Researcher Doctorate   Files File Name Type Description  20333.pdf pdf Vascular Surgery in the Elderly Experience in a Back To Researches Page