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Evolution of surgical techniques for a progressive risk reduction

Bruno Amato, Mario Santoro, Raffaele Izzo, Giuseppe Servillo, Rita Compagna, Lorenza Di Domenico, Veronica Di Nardo, Giuseppe Giugliano
  • Mario Santoro
    University of Naples Federico II, Department of Translational Medical Sciences, Italy
  • Raffaele Izzo
    University of Naples Federico II, Department of Translational Medical Sciences, Italy
  • Giuseppe Servillo
    University of Naples Federico II, Department of Neuroscience, Italy
  • Rita Compagna
    University of Naples Federico II, Department of Clinical Medicine and Surgery, Italy
  • Lorenza Di Domenico
    Guglielmo Marconi University, Department of Nuclear Physics and Radiation, Italy
  • Veronica Di Nardo
    Guglielmo Marconi University, Department of Nuclear Physics and Radiation, Italy
  • Giuseppe Giugliano
    University of Naples Federico II, Department of Advanced Biomedical Sciences, Italy

Abstract

Advanced age is a strong predictor of high perioperative mortality in surgical patients and patients aged 75 years and older have an elevated surgical risk, much higher than that of younger patients. Progressive advances in surgical techniques now make it possible to treat high-risk surgical patients with minimally invasive procedures. Endovascular techniques have revolutionized the treatment of several vascular diseases, in particular carotid stenosis, aortic pathologies, and severely incapacitating intermittent claudication or critical limb ischemia. The main advantages of the endovascular approach are the low complication rate, high rate of technical success and a good clinical outcome. Biliary stenting has improved the clinical status of severely ill patients with bile duct stricture before major surgery, and represents a good palliative therapy in the case of malignant biliary obstruction.

Keywords

Evolution of surgical therapy; carotid artery stenting; drugs-eluting balloon; endovascular repair aortic dissection; geriatric population.

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Submitted: 2017-05-16 11:58:05
Published: 2017-07-18 14:29:59
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Copyright (c) 2017 Bruno Amato, Mario Santoro, Raffaele Izzo, Giuseppe Servillo, Rita Compagna, Lorenza Di Domenico, Veronica Di Nardo, Giuseppe Giugliano

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