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01.12.2018 | Women and Ischemic Heart Disease (A. Maran, Section Editor)

Sex-Based Differences in Chronic Total Occlusion Management

verfasst von: Amy Cheney, Kathleen E. Kearney, William Lombardi

Erschienen in: Current Atherosclerosis Reports | Ausgabe 12/2018

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Abstract

ᅟ

Chronic total occlusions (CTOs) are an important and increasingly recognized subgroup of coronary lesions, documented in at least 30%, but up to 52% of patients with coronary artery disease (CAD) undergoing coronary angiography. Percutaneous coronary intervention (PCI) of these lesions is increasingly pursued, with excellent success rates.

Purpose of Review

It is known that gender differences exist in the presentation of CAD, as well as in clinical outcomes after routine PCI; however, it is not well described how these differences pertain to management of CTOs. This review summarizes the available data regarding sex-based differences in CTO management and outcomes.

Recent Findings

Women comprise approximately 20% of CTO registry and trial participants.

Summary

As has been demonstrated in PCI studies, women comprise a minority of patients in CTO PCI registries and trials. Sex-based differences exist in complication rates, collateral formation, and outcomes and need further evaluation in future studies.

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Titel: Sex-Based Differences in Chronic Total Occlusion Management
verfasst von: Amy Cheney
Kathleen E. Kearney
William Lombardi
Publikationsdatum: 01.12.2018
Verlag: Springer US
Erschienen in: Current Atherosclerosis Reports / Ausgabe 12/2018
Print ISSN: 1523-3804
Elektronische ISSN: 1534-6242
DOI: https://doi.org/10.1007/s11883-018-0760-8

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Sex-Based Differences in Chronic Total Occlusion Management

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