Presentation, treatment, and outcome differences between men and women undergoing revascularization or amputation for lower extremity peripheral arterial.

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Presentation transcript:

Presentation, treatment, and outcome differences between men and women undergoing revascularization or amputation for lower extremity peripheral arterial disease Ruby C. Lo, MD, Rodney P. Bensley, MD, Suzanne E. Dahlberg, PhD, Robina Matyal, MD, Allen D. Hamdan, MD, Mark Wyers, MD, Elliot L. Chaikof, MD, PhD, Marc L. Schermerhorn, MD Journal of Vascular Surgery Volume 59, Issue 2, Pages 409-418.e3 (February 2014) DOI: 10.1016/j.jvs.2013.07.114 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Flowchart diagramming identification of the study cohort. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Open and endovascular procedures performed for intermittent claudication. Women were more likely than men to undergo an endovascular procedure. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Volume of revascularization procedures in California, Florida, Maryland, and New Jersey during admissions for (a) intermittent claudication and (b) critical limb ischemia (CLI). Women were more likely to undergo endovascular procedures and less likely to undergo open surgery. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 a, Revascularization and (b) amputation procedures performed for critical limb ischemia (CLI). Women were more likely than men to undergo endovascular intervention whereas men were more likely to undergo open revascularization. Amputations were more frequent in women except after 2005. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 Volume of major amputations performed in California, Florida, Maryland, and New Jersey. Women were less likely to undergo amputation but the number of amputations declined for both men and women. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 6 Annual in-hospital mortality by procedure and gender among (a) patients with intermittent claudication, (b) patients with critical limb ischemia (CLI) undergoing revascularization, and (c) patients with CLI undergoing amputation. Over the study period, in-hospitality mortality declined for both men and women, but was persistently higher in women. Journal of Vascular Surgery 2014 59, 409-418.e3DOI: (10.1016/j.jvs.2013.07.114) Copyright © 2014 Society for Vascular Surgery Terms and Conditions