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Role of gender in determining treatment type for patients undergoing endovascular lower extremity revascularization

Journal of the American Heart Association Sep 06, 2019

Ramkumar N, Suckow BD, Brownet JR, et al. - Gender differences in the utilization of endovascular treatment modalities were determined via performing analysis of procedures from 2010 to 2016 in the Vascular Quality Initiative for arteries treated with percutaneous transluminal angioplasty (PTA) alone, stenting (with/without PTA), and atherectomy (with/without PTA). Among 50,000 patients who underwent endovascular treatment for peripheral arterial disease, stenting or atherectomy (vs PTA alone) were less frequently performed in the femoropopliteal and tibial arteries among women. In the iliac arteries, no gender difference in stenting was noted, and rare use of atherectomy was observed (0.2%). Relative to men, women more frequently underwent reintervention in the femoropopliteal arteries or developed an occlusion in the iliac and femoropopliteal arteries. Findings highlight the necessity for evidence-based guidelines to guide optimal use of endovascular treatments for men and women.
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