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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
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Sex-Related Differences in Patients Undergoing Thoracic Aortic Surgery
Jennifer Chung1, Louis-Mathieu Stevens2, Maral Ouzounian1
1University of Toronto, Canada (J.C., M.O., M.D.P.).
Circulation
|February 14, 2019
Summary
Women experience worse outcomes after thoracic aortic surgery. Female sex independently predicts higher mortality and stroke rates, necessitating further research into sex-specific care strategies.
Area of Science:
- Cardiovascular Surgery
- Thoracic Aortic Disease
- Sex-Based Medicine
Background:
- Surgical outcomes for thoracic aortic disease have improved.
- The impact of sex on these outcomes remains poorly understood.
Purpose of the Study:
- To investigate sex-related differences in outcomes after thoracic aortic surgery with hypothermic circulatory arrest.
Main Methods:
- Analysis of 1653 patients undergoing thoracic aortic surgery between 2002 and 2017.
- Comparison of outcomes including in-hospital death, stroke, and a composite morbidity endpoint between sexes.
- Multivariable logistic regression to identify independent predictors of outcomes.
Main Results:
- Women were older and had more comorbidities but underwent less aortic root reconstruction.
- Women experienced higher rates of mortality (11% vs 7.4%) and stroke (8.8% vs 5.5%).
- Female sex was an independent predictor for mortality, stroke, and composite morbidity.
Conclusions:
- Women face worse outcomes following thoracic aortic surgery with hypothermic circulatory arrest.
- Further research is needed to identify interventions to reduce sex-based outcome disparities.
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