Results of the Surgical Management of Acute Limb Ischemia in the Nonagenarians

Abstract Background The aging of the population leads us to treat older patients, in particular presenting with acute limb ischemia (ALI). However there has been little evaluation this pathology nonagenarians. objectives work were thus evaluate one-month and one-year mortality nonagenarians treated for ALI, which made possible determine survival highlight factors influencing mortality. Methods This was a monocentric retrospective study including all patients aged 90 years old or more surgically ALI between January, 2012 December, 2016. In we recorded demographic, clinical paraclinical data. Results We operated 83 nonagenarians, majority women (59, 71.1%), using general anesthesia 20 (16.6%), 10 cases upper (12.0%). overall rate at one month 22.9%, 43.4%. Major amputation 9.6% year. lower similar (p=0.82). Univariate analysis showed that having history cerebrovascular problems (p=0.0003), heart failure (p=0.0027), dementia (p=0.0452), institutionalized (p=0.0125), invalid (p=0.0001), presented complete (p=0.0002). multivariate analysis, three risk remained statistically significant: previous accident (HR= 3.05 [1.54-6.02]; p=0.0014), cardiac 2.21 [1.23-3.97]; p=0.0083) AI 3.07 [1.64-5.75]; p=0.0005). Conclusion Our accident, are poor prognostic dealt ALI. These elements should be taken into account when deciding either operate not precise context.