Frailty Does not Predict for Worse Outcomes Following Lower Extremity Angiograms for Limb Ischemia in Nonagenarians

Endovascular interventions are performed routinely with minimal risk in younger populations. The safety and efficacy of endovascular for both frail nonfrail nonagenarians is understudied. We sought to examine whether increased frailty predicted outcomes after lower extremity acute limb ischemia (ALI) chronic limb-threatening (CLTI). A retrospective review all patients aged >90 years who had undergone a angiogram ALI or CLTI during 12-year period at single institution was performed. primary were the 30-day 1-year major amputation mortality rates. patient demographics, complications, target vessel revascularization rates reviewed. scores calculated using 11-factor modified index. From 2009 2021, 76 (36% male) mean age 93 (range, 90-102 years) procedures (n = 13) 63). 6% 8%, respectively. preoperative functional status, TVR not different between required early (<30 days) those salvage. Of patients, 54 (72%) 1 year follow-up data available. rate 27%, 33% whom an amputation. alive (73%), one (3%) Patients significantly higher compared without (83% vs 19%; P < .01). Based on index score, 59% population considered (score >0.27). Frail did have (limb salvage, 88% 91%; .66; mortality, 13% 7%; .61) 70% 89%; .14; 36% 26%; .48) outcomes. can be safely low high salvage death within year. Frailty, as measured by validated index, associated worse late Compared immediate amputation, nonagenarian their families should counseled regarding benefit minimally invasive procedure.