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Related Experiment Videos

Aortoiliac occlusive disease

J R Schneider1

  • 1Division of Cardiovascular and Thoracic Surgery, Evanston Hospital, IL, USA.

Seminars in Vascular Surgery
|December 1, 1995
PubMed
Summary
This summary is machine-generated.

Gender does not impact outcomes for aortoiliac occlusive disease interventions. Women with this condition may be undertreated due to unfounded biases, not poorer surgical results.

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Area of Science:

  • Vascular Surgery
  • Atherosclerosis Research
  • Gender Disparities in Medicine

Background:

  • Limited research exists on gender's influence on patient selection and outcomes for aortoiliac atherosclerotic occlusive disease.
  • Existing studies often overlook potential gender-based differences in treatment approaches and results.

Purpose of the Study:

  • To investigate the impact of gender on the selection of patients and the outcomes of interventions for aortoiliac atherosclerotic occlusive disease.
  • To determine if gender influences the effectiveness of various surgical reconstructions for this condition.
  • To address potential gender biases in recommending interventions for aortoiliac disease.

Main Methods:

  • Retrospective review of patient data for aortobifemoral, femorofemoral, and axillofemoral bypass procedures.

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  • Analysis of clinical and hemodynamic indices to measure preoperative ischemia.
  • Literature review of studies on unilateral aortofemoral bypass, iliofemoral bypass, and percutaneous transluminal balloon angioplasty (PTBA).

    • Main Results:

    • Women presented with more isolated aortoiliac disease, but similar ischemia severity compared to men.
    • Surgical outcomes for aortobifemoral, femorofemoral, and axillofemoral bypass were not significantly affected by gender.
    • Other aortoiliac interventions (unilateral bypass, iliofemoral bypass, PTBA) showed no gender-based performance differences.
    • Infrainguinal reconstruction outcomes were poorer in women in this study.
    • Concerns about poorer aortoiliac reconstruction results in women due to anatomical differences were unfounded.

    Conclusions:

    • Gender does not negatively affect outcomes for aortoiliac atherosclerotic occlusive disease interventions.
    • Women may be less likely to be recommended for intervention for non-limb-threatening aortoiliac disease due to unfounded gender biases.
    • Vascular specialists should not let gender bias influence treatment recommendations for aortoiliac atherosclerotic occlusive disease.