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First published on March 10, 2008
Vascular and Endovascular Surgery 2008, doi:10.1177/1538574408314444


Article

No Gender Influences on Clinical Outcomes or Durability of Repair Following Carotid Angioplasty With Stenting and Carotid Endarterectomy

Brian D. Park*, Francesco Aiello, Michael Dahn, James Menzoian, and Arun Mavanur

* To whom correspondence should be addressed. E-mail: bpark{at}resident.uchc.edu.


   Abstract

Introduction To determine if gender influences clinical outcomes and durability of repair after carotid angioplasty with stenting (CAS) or carotid endartercetomy (CEA), an analysis of patient records was performed.

Methods This study included 89 CAS patients (47 men and 42 women) and 93 CEA patients (53 men and 40 women). Patients underwent duplex scans 6, 12, 24 months postprocedure. The outcomes of periprocedural mortality, major adverse events, strokes, and myocardial infarctions were assessed. Incidence of critical restenosis and recurrence of symptoms was also assessed.

Results No significant differences were noted between men and women who had undergone either CAS or CEA (P > .05) for clinical outcomes and durability of repair. No differences for periprocedural mortality, major adverse events, critical restenosis, recurrent neurologic symptoms, and adverse event free survival were found.

Conclusions These results do not indicate substantial gender influences on clinical outcomes or durability of repair following CAS and CEA.

Keywords:carotid; angioplasty; stent; endarterectomy; stroke


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