P5.21 PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS: GENDER DIFFERENCES – SINGLE CENTER EXPERIENCE

Leszek Bryniarski*; Slawomir Surowiec; Lukasz Klima; Michal Terlecki; Piotr Jankowski; Marek Rajzer; Piotr Kusak; Tadeusz Krolikowski; Adam Curylo; Dariusz Dudek; Danuta Czarnecka

doi:10.1016/j.artres.2015.10.284

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Volume 12, Issue C, December 2015, Pages 24 - 25

P5.21 PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS: GENDER DIFFERENCES – SINGLE CENTER EXPERIENCE

Authors

Leszek Bryniarski*¹, Slawomir Surowiec¹, Lukasz Klima¹, Michal Terlecki¹, Piotr Jankowski¹, Marek Rajzer¹, Piotr Kusak¹, Tadeusz Krolikowski¹, Adam Curylo¹, Dariusz Dudek², Danuta Czarnecka¹

¹1st Department of Cardiology, Interventional Electrocardiology, and Arterial Hypertension, Jagiellonian University, Medical College, University Hospital, Krakow, Poland

²2nd Department of Cardiology and Cardiovascular Interventions, Jagiellonian University, Medical College, University Hospital, Krakow, Poland

Available Online 23 November 2015.

DOI: 10.1016/j.artres.2015.10.284 How to use a DOI?
Abstract: Background: Little is known about gender differences among patients undergoing percutaneous coronary intervention (PCI) for chronic total occlusion (CTO).

Methods: A total of 242 patients underwent 255 procedures PCI of CTO in our center between January 2011 and January 2015. Demographic data, procedural differences and success rate beetwen genders was compared.

Result: Among 242 treated patients 16,9% (n=41) were women. Women were older than men (67.8±8.4 vs.61.3±9.0, p<0.005, respectively). There were no differences in diagnosis of hypertension (92.7% vs.85.6%), dyslipidaemia (100% vs. 99%) or diabetes (34.2% vs.28.4%)(p=NS). Less women were current smoker (7.3% vs. 23.4%, p<0.005). 46.1% of women and 50.8% of men suffered from myocardial infarction before procedure (p=NS). The most frequently opened artery in both groups were right coronary artery (45.2% vs.49.8%), then left anterior descending artery (40.5% vs. 31.5%) (p=NS). Occlusion’s characteristic did not differ in both groups in estimated duration (10.9±19.5 vs. 16.6±33.1 months) and length (27.0±14.0 vs. 26.9±11.8 mm), (p=NS). Retrograde technique was used in 10 women (23.8%) and in 46 men (21.6%) (p=NS). Time of procedure (minutes) (71.4±27.9 vs. 69.3±.33.4), fluoroscopic time (minutes) (25.7± 15.2 vs. 26.9±18.4) and contrast volume (ml) (370.8± 170.2 vs. 348.3±156.7) did not differ beetwen women and men (p=NS for all). Overall succes rate was 86.7%, in women 80.9% and in men 87.9% (p=NS).

Conclusion: PCI of CTO remains safe and successful method of revascularization in men and women. However, women were a significant minority. Although women are older, success rate of revascularization and complications were similar compared to men.
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Journal: Artery Research
Volume-Issue: 12 - C
Pages: 24 - 25
Publication Date: 2015/11/23
ISSN (Online): 1876-4401
ISSN (Print): 1872-9312
DOI: 10.1016/j.artres.2015.10.284 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC license.

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ris enw bib

TY  - JOUR
AU  - Leszek Bryniarski*
AU  - Slawomir Surowiec
AU  - Lukasz Klima
AU  - Michal Terlecki
AU  - Piotr Jankowski
AU  - Marek Rajzer
AU  - Piotr Kusak
AU  - Tadeusz Krolikowski
AU  - Adam Curylo
AU  - Dariusz Dudek
AU  - Danuta Czarnecka
PY  - 2015
DA  - 2015/11/23
TI  - P5.21 PERCUTANEOUS CORONARY INTERVENTIONS OF CHRONIC TOTAL OCCLUSIONS: GENDER DIFFERENCES – SINGLE CENTER EXPERIENCE
JO  - Artery Research
SP  - 24
EP  - 25
VL  - 12
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2015.10.284
DO  - 10.1016/j.artres.2015.10.284
ID  - Bryniarski*2015
ER  -

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