Sex-Based Differences in Coronary and Structural Percutaneous Interventions

Abstract

Abstract In the current state of interventional cardiology, the ability to offer advanced therapies to patients who historically were not surgical candidates has grown exponentially in the last few decades. As therapies have expanded in complex coronary and structural interventions, the nuances of treating certain populations have emerged. In particular, the role of sex-based anatomic and outcome differences has been increasingly recognized. As guidelines for cardiovascular prevention and treatment for certain conditions may vary by sex, therapeutic interventions in the structural and percutaneous coronary areas may also vary. In this review, we aim to discuss these differences, the current literature available on these topics, and areas of focus for the future.

Keywords

• Aortic valve disease
• Interventional cardiology
• Mitral valve disease
• Percutaneous coronary intervention
• Sex-related disparities
• Sex-specific factors