Sex-Based Differences in Chronic Total Occlusion Management.

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. 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.

journal_name

Curr Atheroscler Rep

authors

Cheney A,Kearney KE,Lombardi W

doi

10.1007/s11883-018-0760-8

subject

Has Abstract

pub_date

2018-11-07 00:00:00

pages

60

issue

12

eissn

1523-3804

issn

1534-6242

pii

10.1007/s11883-018-0760-8

journal_volume

20

pub_type

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