[Chronic total occlusions: Is there a woman specificity?]
Many differences have been reported regarding gender in angioplasty procedures (PCI), but their potential influence on clinical outcomes after CTO PCI has not been elucidated. Aim of this paper is to analyse these potential differences starting from 2 clinical cases. The basic features found in the two clinical cases presented here, older age and presence of diabetes (that are more frequent in women), are in line with the differences identified in non-CTO studies on angioplasty. Furthermore, CTO in women are generally under-diagnosed and less frequently treated by angioplasty than in men. These features combined to the often atypical clinical presentation could explain why women are generally less frequently enrolled in CTO registries than men. Although data on the impact of gender on this topic are scarce, it appears that, despite a clear outcome difference in patients who have a successful CTO angioplasty and similar success rates, women are still under-referred for a CTO angioplasty. Indeed, CTO angioplasty seems a valid therapeutic option, in women as in men.
Centre hospitalier Simone-Veil, 14, rue de Saint-Prix, 95600 Eaubonne, France. Electronic address: francesca.sanguineti@gmail.com.
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Sanguineti
Centre chirurgical Marie-Lannelongue, 133, avenue de la Résistance, 92350 Le Plessis-Robbinson, France.
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Garcia-Alonso
Institut cardiovasculaire Paris Sud, hôpital privé Jacques-Cartier, générale de santé, 6, avenue du Noyer-Lambert, 91300 Massy, France.
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Benamer
Centre hospitalier Simone-Veil, 14, rue de Saint-Prix, 95600 Eaubonne, France.
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Karrillon
D015906:Angioplasty, Balloon, Coronary; D002908:Chronic Disease; D003327:Coronary Disease / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D017202:Myocardial Ischemia / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D012307:Risk Factors; D012737:Sex Factors; D016896:Treatment Outcome
Angioplastie coronaire; Chronic total occlusions; Gender differences; Genre; Occlusions totales chroniques; Percutaneous coronary interventions