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2014 VEITH Symposium: Iliac Vein Stenting in the Elderly

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The Particulars: Few studies have assessed the safety of iliac vein stenting in office-based settings, particularly among patients in their 80s and 90s.

Data Breakdown: For a study, investigators analyzed data on patients younger than 80 (group 1), octogenarians (group 2), and nonagenarians (group 3) who underwent iliac vein stenting at an office-based surgery center. Among 646 treated limbs, only nine complications developed: group 1 had six complications, group 2 had 2, and group 3 had 1. Complications included one hematoma and eight cases of DVT. Researchers observed no surgical site infections, pseudo-aneurysms, arteriovenous fistulas, or femoral artery injuries. No patients required postoperative transfusion, and no 30-day mortalities were reported.

Take Home Pearl: Iliac vein stenting performed in an office-based surgery center appears to be safe among octogenarians and nonagenarians.

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