Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes

Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for severe symptomatic aortic stenosis in patients who are not suitable for surgery or are at high surgical risk. Approximately 50% of patients undergoing TAVI are female and this is reflected by a higher inclusio...

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Autores principales: Alessandra Laricchia, Barbara Bellini, Vittorio Romano, Saud Khawaja, Matteo Montorfano, Alaide Chieffo
Formato: article
Lenguaje:EN
Publicado: Radcliffe Medical Media 2019
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Acceso en línea:https://doaj.org/article/72a11eca69e7458fb567a320ea1a9954
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spelling oai:doaj.org-article:72a11eca69e7458fb567a320ea1a99542021-12-04T16:01:57ZSex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes10.15420/icr.2019.07.R11756-14851756-1477https://doaj.org/article/72a11eca69e7458fb567a320ea1a99542019-11-01T00:00:00Zhttps://www.icrjournal.com/articles/Transcatheter-Aortic-Valve-Implantation-Female-Clinical-Outcomeshttps://doaj.org/toc/1756-1477https://doaj.org/toc/1756-1485Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for severe symptomatic aortic stenosis in patients who are not suitable for surgery or are at high surgical risk. Approximately 50% of patients undergoing TAVI are female and this is reflected by a higher inclusion rate of women in TAVI trials. However, women undergoing TAVI have different baseline clinical characteristics in comparison to men, with fewer comorbidities and a more preserved left ventricular ejection fraction. This translates into favourable outcomes after TAVI, despite a higher rate of peri-procedural complications. This article discusses gender differences in terms of presentation, procedural characteristics and post-procedural results in patients with aortic stenosis undergoing TAVI, with particular focus on possible sex-specific factors affecting outcome.Alessandra LaricchiaBarbara BelliniVittorio RomanoSaud KhawajaMatteo MontorfanoAlaide ChieffoRadcliffe Medical MediaarticleSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENInterventional Cardiology: Reviews, Research, Resources, Vol 14, Iss 3, Pp 137-141 (2019)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
Alessandra Laricchia
Barbara Bellini
Vittorio Romano
Saud Khawaja
Matteo Montorfano
Alaide Chieffo
Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
description Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for severe symptomatic aortic stenosis in patients who are not suitable for surgery or are at high surgical risk. Approximately 50% of patients undergoing TAVI are female and this is reflected by a higher inclusion rate of women in TAVI trials. However, women undergoing TAVI have different baseline clinical characteristics in comparison to men, with fewer comorbidities and a more preserved left ventricular ejection fraction. This translates into favourable outcomes after TAVI, despite a higher rate of peri-procedural complications. This article discusses gender differences in terms of presentation, procedural characteristics and post-procedural results in patients with aortic stenosis undergoing TAVI, with particular focus on possible sex-specific factors affecting outcome.
format article
author Alessandra Laricchia
Barbara Bellini
Vittorio Romano
Saud Khawaja
Matteo Montorfano
Alaide Chieffo
author_facet Alessandra Laricchia
Barbara Bellini
Vittorio Romano
Saud Khawaja
Matteo Montorfano
Alaide Chieffo
author_sort Alessandra Laricchia
title Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
title_short Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
title_full Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
title_fullStr Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
title_full_unstemmed Sex and Transcatheter Aortic Valve Implantation: Impact of Female Sex on Clinical Outcomes
title_sort sex and transcatheter aortic valve implantation: impact of female sex on clinical outcomes
publisher Radcliffe Medical Media
publishDate 2019
url https://doaj.org/article/72a11eca69e7458fb567a320ea1a9954
work_keys_str_mv AT alessandralaricchia sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
AT barbarabellini sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
AT vittorioromano sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
AT saudkhawaja sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
AT matteomontorfano sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
AT alaidechieffo sexandtranscatheteraorticvalveimplantationimpactoffemalesexonclinicaloutcomes
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