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Treatment of Peripheral Arteriopathy in Women

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Percutaneous Treatment of Cardiovascular Diseases in Women

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Abstract

Until recently, peripheral artery disease (PAD) was considered to be more prevalent in men than in women because the diagnosis was based on the presence of typical symptoms, i.e., intermittent claudication (IC) [1]. However, PAD is often asymptomatic or presents with atypical symptoms, and this is particularly frequent in women, leading to an underestimation of PAD prevalence among female subjects. On the contrary, when PAD diagnosis is based on the ankle-brachial index, the actual prevalence of PAD among women is at least the same as in men or even higher. Moreover, women may be hindered by financial and social barriers to accessing and seeking care at an earlier stage [2].

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References

  1. Higgins JP, Higgins JA. Epidemiology of peripheral arterial disease in women. J Epidemiol. 2003;13(1):1–14.

    Article  PubMed  Google Scholar 

  2. Egorova N, Vouyouka AG, Quin J, et al. Analysis of gender-related differences in lower extremity peripheral arterial disease. J Vasc Surg. 2010;51(2):372–8e.371.

    Article  PubMed  Google Scholar 

  3. Vavra AK, Kibbe MR. Women and peripheral arterial disease. Womens Health (Lond Engl). 2009;5(6):669–83.

    Article  Google Scholar 

  4. Hirsch AT, Allison MA, Gomes AS, et al. A call to action: women and peripheral artery disease: a scientific statement from the American Heart Association. Circulation. 2012;125(11):1449–72.

    Article  PubMed  Google Scholar 

  5. Lo RC, Bensley RP, Dahlberg SE, et al. Presentation, treatment, and outcome differences between men and women undergoing revascularization or amputation for lower extremity peripheral arterial disease. J Vasc Surg. 2014;59(2):409–18.e403.

    Article  PubMed  Google Scholar 

  6. UKPDS Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ. 1998;317(7160):703–13.

    Article  Google Scholar 

  7. Moussa ID, Jaff MR, Mehran R, et al. Prevalence and prediction of previously unrecognized peripheral arterial disease in patients with coronary artery disease: the Peripheral Arterial Disease in Interventional Patients Study. Catheter Cardiovasc Interv. 2009;73(6):719–24.

    Article  PubMed  Google Scholar 

  8. Oka RK, Szuba A, Giacomini JC, Cooke JP. Gender differences in perception of PAD: a pilot study. Vasc Med. 2003;8(2):89–94.

    Article  PubMed  Google Scholar 

  9. Fowkes FGR, Rudan D, Rudan I, et al. Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis. Lancet. 2013;382(9901):1329–40.

    Article  PubMed  Google Scholar 

  10. Jackson EA, Munir K, Schreiber T, et al. Impact of sex on morbidity and mortality rates after lower extremity interventions for peripheral arterial disease: observations from the Blue Cross Blue Shield of Michigan Cardiovascular Consortium. J Am Coll Cardiol. 2014;63(23):2525–30.

    Article  PubMed  Google Scholar 

  11. Hoel AW, Kayssi A, Brahmanandam S, Belkin M, Conte MS, Nguyen LL. Under-representation of women and ethnic minorities in vascular surgery randomized controlled trials. J Vasc Surg. 2009;50(2):349–54.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Orr JD, Leeper NJ, Funaki B, Leef J, Gewertz BL, Desai TR. Gender does not influence outcomes after iliac angioplasty. Ann Vasc Surg. 2002;16(1):55–60.

    Article  PubMed  Google Scholar 

  13. Timaran CH, Stevens SL, Freeman MB, Goldman MH. Predictors for adverse outcome after iliac angioplasty and stenting for limb-threatening ischemia. J Vasc Surg. 2002;36(3):507–13.

    Article  PubMed  Google Scholar 

  14. Tadros RO, Faries PL, Rocha-Singh KJ, et al. The impact of sex on angioplasty and primary stenting for femoropopliteal occlusive disease: results of the DURABILITY II trial. Ann Vasc Surg. 2014;28(1):1–9.

    Article  PubMed  Google Scholar 

  15. Ortiz D, Jahangir A, Singh M, Allaqaband S, Bajwa TK, Mewissen MW. Access site complications after peripheral vascular interventions: incidence, predictors, and outcomes. Circ Cardiovasc Interv. 2014;7(6):821–8.

    Article  PubMed  PubMed Central  Google Scholar 

  16. DeRubertis BG, Pierce M, Ryer EJ, Trocciola S, Kent KC, Faries PL. Reduced primary patency rate in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia. J Vasc Surg. 2008;47(1):101–8.

    Article  PubMed  Google Scholar 

  17. Greenblatt DY, Rajamanickam V, Mell MW. Predictors of surgical site infection after open lower extremity revascularization. J Vasc Surg. 2011;54(2):433–9.

    Article  PubMed  Google Scholar 

  18. Ballotta E, Gruppo M, Lorenzetti R, Piatto G, DaGiau G, Toniato A. The impact of gender on outcome after infrainguinal arterial reconstructions for peripheral occlusive disease. J Vasc Surg. 2012;56(2):343–52.

    Article  PubMed  Google Scholar 

  19. Abando A, Akopian G, Katz SG. Patient sex and success of peripheral percutaneous transluminal arterial angioplasty. Arch Surg. 2005;140(8):757–61.

    Article  PubMed  Google Scholar 

  20. Bechter-Hugl B, Falkensammer J, Gorny O, Greiner A, Chemelli A, Fraedrich G. The influence of gender on patency rates after iliac artery stenting. J Vasc Surg. 2014;59(6):1588–96.

    Article  PubMed  Google Scholar 

  21. DeRubertis BG, Vouyouka A, Rhee SJ, et al. Percutaneous intervention for infrainguinal occlusive disease in women: equivalent outcomes despite increased severity of disease compared with men. J Vasc Surg. 2008;48(1):150–8.

    Article  PubMed  Google Scholar 

  22. Sakamoto Y, Hirano K, Iida O, et al. Five-year outcomes of self-expanding nitinol stent implantation for chronic total occlusion of the superficial femoral and proximal popliteal artery. Catheter Cardiovasc Interv. 2013;82(3):E251–6.

    Article  PubMed  Google Scholar 

  23. Tepe G, Schnorr B, Albrecht T, et al. Angioplasty of femoral-popliteal arteries with drug-coated balloons: 5-year follow-up of the THUNDER trial. JACC Cardiovasc Interv. 2015;8(1 Pt A):102–8.

    Article  PubMed  Google Scholar 

  24. Domenick N, Saqib NU, Marone LK, Rhee RY, Makaroun MS, Chaer RA. Impact of gender and age on outcomes of tibial artery endovascular interventions in critical limb ischemia. Ann Vasc Surg. 2012;26(7):937–45.

    Article  PubMed  Google Scholar 

  25. Tye A, Han DK, Tadros RO, et al. Percutaneous intervention for infrageniculate arterial disease in women may be associated with better outcomes when compared to men. J Vasc Surg. 2013;57(3):706–13.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Angiology, Department of Internal Medicine, Karl-Franzens University, Graz, Austria

    Marianne Brodmann MD

  2. Catheterization Laboratory, Cardiothoracic and Vascular Department, Pisa University Hospital, Pisa, Italy

    Marco De Carlo MD, PhD

Authors
  1. Marianne Brodmann MD
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  2. Marco De Carlo MD, PhD
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Corresponding author

Correspondence to Marco De Carlo MD, PhD .

Editor information

Editors and Affiliations

  1. Interventional Cardiology, Humanitas Research Hospital, Rozzano , Milano, Italy

    Patrizia Presbitero

  2. Interventional Cardiology, Klinik der Universität München Interventional Cardiology, München, Bayern, Germany

    Julinda Mehilli

  3. Hemodynamic Laboratory, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy

    Anna Sonia Petronio

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© 2017 Springer International Publishing Switzerland

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Brodmann, M., De Carlo, M. (2017). Treatment of Peripheral Arteriopathy in Women. In: Presbitero, P., Mehilli, J., Petronio, A. (eds) Percutaneous Treatment of Cardiovascular Diseases in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-39611-8_17

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  • DOI: https://doi.org/10.1007/978-3-319-39611-8_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39609-5

  • Online ISBN: 978-3-319-39611-8

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