Role of target vessel size and body surface area on outcomes after percutaneous coronary interventions in women.

Published

Journal Article

BACKGROUND: Women have higher mortality rates than men after coronary angioplasty. Differences in target vessel size may partially account for these differences. We set out to explore the effects of sex, body surface area (BSA), and target coronary vessel size on clinical outcomes after angioplasty. METHODS: Data from 5 interventional trials and 1 registry were pooled for analysis (n = 3982). RESULTS: Compared with men, women undergoing angioplasty were older, had lower weights and BSA, more coronary risk factors, and slightly smaller target coronary vessel size (as assessed by reference vessel diameter). The correlation between target vessel size and BSA was poor (r = 0.13). At 6 months, women had higher mortality rates (1.7% vs 0.8%, P =.03) but similar rates of myocardial infarction and repeat revascularization. On univariate analysis, advanced age, smaller BSA, and female sex were associated with increased mortality, but target vessel size was not. Advanced age was the only significant multivariate predictor of mortality. Target vessel size and diabetes were independent predictors of repeat revascularization. CONCLUSIONS: Women have higher unadjusted 6-month mortality rates after angioplasty, owing largely to their more advanced age at the time of intervention. Smaller target vessel size is associated with increased risk of restenosis and repeat revascularization; however, it does not appear to be a predictor for downstream mortality. As such, the fact that women have smaller vessels does not account for their higher 6-month mortality after coronary angioplasty.

Full Text

Duke Authors

Cited Authors

  • Cantor, WJ; Miller, JM; Hellkamp, AS; Kramer, JM; Peterson, ED; Hasselblad, V; Zidar, JP; Newby, LK; Ohman, EM

Published Date

  • August 2002

Published In

Volume / Issue

  • 144 / 2

Start / End Page

  • 297 - 302

PubMed ID

  • 12177648

Pubmed Central ID

  • 12177648

Electronic International Standard Serial Number (EISSN)

  • 1097-6744

Digital Object Identifier (DOI)

  • 10.1067/mhj.2002.123318

Language

  • eng

Conference Location

  • United States