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Sex Related Differe...
Sex Related Differences in Indication and Procedural Outcomes of Carotid interventions in VASCUNET
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- Venermo, Maarit (författare)
- Univ Helsinki, Dept Vasc Surg, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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- Mani, Kevin, 1975- (författare)
- Uppsala universitet,Kärlkirurgi
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- Boyle, Jonathan R. (författare)
- Cambridge Univ Hosp Trust, Addenbrookes Hosp, Div Vasc & Endovasc Surg, Cambridge, England.
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- Eldrup, Nikolaj (författare)
- Rigshosp, Dept Vasc Surg, Copenhagen, Denmark.
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- Setacci, Carlo (författare)
- Univ Siena, Siena, Italy.
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- Jonsson, Magnus (författare)
- Karolinska Institutet
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- Menyhei, Gabor (författare)
- Pecs Univ, Dept Vasc Surg, Med Ctr, Pecs, Hungary.
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- Beiles, Barry (författare)
- Australasian Soc Vasc Surg, Australasian Vasc Audit, Melbourne, Australia.
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- Lattmann, Thomas (författare)
- Cantonal Hosp, Clin Vasc Surg, Winterthur, Switzerland.
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- Cassar, Kevin (författare)
- Univ Malta, Fac Med & Surg, Dept Surg, Msida, Malta.
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- Altreuther, Martin (författare)
- St Olavs Hosp, Dept Vasc Surg, Trondheim, Norway.
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- Thomson, Ian (författare)
- Univ Otago, Dept Surg Sci, Dunedin, New Zealand.
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- Settembre, Nicla (författare)
- Univ Lorraine, Virtual Hosp Lorraine, CHRU Nancy, Inserm 1116, Nancy, France.
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- Laxdal, Elin (författare)
- Landspitalinn Univ Hosp, Dept Vasc Surg, Reykjavik, Iceland.
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- Behrendt, Christian-Alexander (författare)
- Asklepios Med Sch, Dept Vasc & Endovasc Surg, Asklepios Clin Wandsbek, Hamburg, Germany.
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- deBorst, Gert J. (författare)
- Univ Med Ctr Utrecht, Dept Vasc Surg G04 129, Utrecht, Netherlands.
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Univ Helsinki, Dept Vasc Surg, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland. Kärlkirurgi (creator_code:org_t)
- Elsevier BV, 2023
- 2023
- Engelska.
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Ingår i: European Journal of Vascular and Endovascular Surgery. - : Elsevier BV. - 1078-5884 .- 1532-2165. ; 66:1, s. 7-14
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective:It has been suggested that peri-operative complications after carotid surgery may be higher in women than in men. This assumption may affect the treatment patterns, and it is thus possible that carotid endarterectomy (CEA) is provided to women less often. The aim of the current VASCUNET study was to determine sex related differences in operative risk in routine clinical practice among non-selected patients undergoing carotid revascularisation.Methods:Data on CEA and carotid artery stenting (CAS) from 14 vascular registries were collected and amalgamated. Comprehensive data were available for 223 626 carotid artery procedures; these were analysed overall and by country. The primary outcome was any stroke and or death within 30 days of carotid revascularisation. Secondary outcomes were stroke, death, or any major cardiac event or haemorrhage leading to re-operation.Results:Of the procedures, 34.8% were done in women. The proportion of CEA for asymptomatic stenosis compared with symptomatic stenosis was significantly higher among women than men (38.4% vs. 36.9%, p < .001).The proportion of octogenarians was higher among women than men who underwent CEA in both asymptomatic (21.2% vs. 19.9%) and symptomatic patients (24.3% vs. 21.4%). In the unadjusted analysis of symptomatic and asymptomatic patients, there were no significant differences between men and women in the rate of post-operative combined stroke and or death, any major cardiac event, or combined death, stroke, and any major cardiac event after CEA. Also, after stenting for asymptomatic or symptomatic carotid stenosis, there were no significant differences between men and women in the rate of post-operative complications. In adjusted analyses, sex was not significantly associated with any of the end points. Higher age and CAS vs. CEA were independently associated with all four end points.Conclusion:This study confirmed that, in a large registry among non-selected patients, no significant sex related differences were found in peri-operative complication rates after interventions for carotid stenosis.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Asymptomatic stenosis
- Carotid artery stenosis
- Carotid artery stenting Carotid endarterectomy
- Sex related differences
- Stroke
- TIA
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Venermo, Maarit
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Mani, Kevin, 197 ...
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Boyle, Jonathan ...
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Eldrup, Nikolaj
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Setacci, Carlo
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Jonsson, Magnus
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Menyhei, Gabor
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Beiles, Barry
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Lattmann, Thomas
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Cassar, Kevin
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Altreuther, Mart ...
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Thomson, Ian
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Settembre, Nicla
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Laxdal, Elin
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Behrendt, Christ ...
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deBorst, Gert J.
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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European Journal ...
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Uppsala universitet
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Karolinska Institutet