Gender Differences in Endovascular Revascularization for Peripheral Arterial Disease

Michael S. Lee, Seung-Woon Rha, Seung-Kyu Han, Byoung Geol Choi, Se Yeon Choi, Pejman Mansourian, Jabar Ali, Shaopeng Xu, Harris Abdullah Ngow, Gwang No Lee, Jae Joong Lee, Ji Bak Kim, Sunki Lee, Jin Oh Na, Cheol Ung Choi, Hong Euy Lim, Jin Won Kim, Eung Ju Kim, Chang Gyu Park, Hong Seog SeoDong Joo Oh

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: Peripheral arterial disease (PAD) can be treated with percutaneous transluminal angioplasty (PTA). Data comparing the outcomes of females to males with PAD who undergo PTA is limited. We compared the clinical outcomes of male and female patients with PAD who underwent PTA. Methods: In a singlecenter, prospective registry, the outcomes of 239 consecutive patients who underwent PTA for symptomatic PAD stratified by gender were analyzed. The primary endpoint was restenosis at 8 months. The secondary end points were repeat PTA, target lesion revascularization, target extremity revascularization, and amputation at a follow-up of 2 years. Results: Female patients were older (69.5±11.1 vs 65±11.6 years of age, P=.04) and had a trend toward a higher percentage of diabetic foot wound (58.1% vs 44.5%, P=.076) and PTA of tibial artery lesions (63.6% vs 53.8%, P=.064). Females had higher incidence of major hematoma (≥4 cm; 18.1% vs 8.1%, P=.033). No significant differences were observed between females and males for binary restenosis at 8 months and clinical events at 2 years. Conclusions: Female patients were older and had trends toward a higher percentage of diabetic foot wound as the initial diagnosis for PTA and PTA of tibial artery lesions. Despite having a higher incidence of major hematoma, females who underwent PTA had no significant differences in restenosis and 2-year clinical outcomes. PTA represents a viable treatment option for female patients with symptomatic PAD.

Original languageEnglish
Pages (from-to)117-125
Number of pages9
JournalVascular Disease Management
Volume12
Issue number7
Publication statusPublished - 2015 Jul 1

Keywords

  • Angioplasty
  • Endovascular therapy
  • Percutaneous transluminal angioplasty
  • Peripheral vascular disease

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Gender Differences in Endovascular Revascularization for Peripheral Arterial Disease'. Together they form a unique fingerprint.

  • Cite this

    Lee, M. S., Rha, S-W., Han, S-K., Choi, B. G., Choi, S. Y., Mansourian, P., Ali, J., Xu, S., Ngow, H. A., Lee, G. N., Lee, J. J., Kim, J. B., Lee, S., Na, J. O., Choi, C. U., Lim, H. E., Kim, J. W., Kim, E. J., Park, C. G., ... Oh, D. J. (2015). Gender Differences in Endovascular Revascularization for Peripheral Arterial Disease. Vascular Disease Management, 12(7), 117-125.