Details

Autor(en) / Beteiligte

• Stähli, Barbara Elisabeth, MD, MBA
• Gebhard, Cathérine, MD
• Gick, Michael, MD
• Ferenc, Miroslaw, MD
• Mashayekhi, Kambis, MD
• Buettner, Heinz Joachim, MD
• Neumann, Franz-Josef, MD
• Toma, Aurel, MD

Titel

Comparison of Outcomes in Men versus Women After Percutaneous Coronary Intervention for Chronic Total Occlusion

Ist Teil von

• The American journal of cardiology, 2017-06, Vol.119 (12), p.1931-1936

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Link zum Volltext

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Conflicting evidence exists on gender differences in outcomes after coronary stenting, and gender-based data in patients with chronic total occlusions (CTO) undergoing percutaneous coronary intervention (PCI) are scarce. Consecutive patients undergoing CTO PCI between January 2005 and December 2013 were included in the analysis and stratified according to gender. The primary outcome measure was all-cause mortality. Median follow-up was 2.6 (interquartile range 1.1-3.1) years. Out of 2002 patients, 332 (17%) were women. Procedural success was achieved in 82% and 83% of women and men (p=0.31). All-cause mortality was 15% and 11% in women and men (log rank p=0.17) with an adjusted hazard ratio of 0.85 (95% CI 0.61-1.17, p=0.31). All-cause mortality was significantly reduced in patients with procedural success, both in women (12% versus 32%, adjusted HR 0.44, 95% CI 0.24-0.79, p=0.006) and men (9% versus 21%, adjusted HR 0.64, 95% CI 0.47-0.88, p=0.006), with similar mortality benefits associated with successful revascularization in both groups (interaction p=0.35). In conclusion, recanalization of coronary arterial CTO is equally successful in both women and men.