J Transcat Intervent.2019;27:eA201811.
Percutaneous coronary intervention in women: a 10-year analysis
Temporal trends in the female population submitted to percutaneous coronary intervention were evaluated as to clinical, angiographic and procedural aspects, based on analysis of 10-year results of a national registry. The objective of this study was to compare the in-hospital results and clinical outcomes by grouping the sample into three different time frames.
The database used was the Central Nacional de Intervenções Cardiovasculares (CENIC). A total of 59,931 women undergoing percutaneous coronary intervention between 2006 and 2016 were assessed and divided into timeframes, analyzing clinical and angiographic variables, as well as in-hospital outcomes.
There was a decrease in prevalence of smoking, hypertension, and dyslipidemia over time. Likewise, the prevalence of calcified lesions, thrombotic lesions and bifurcations decreased. The success of the procedure increased and there was a decrease in post-procedure complications, such as death, infarction or emergency surgical revascularization. In the analysis of predictors of risk of death, patients with left main coronary artery lesion presented a 15-fold risk of death (p<0.0001), and multi-vessel lesions increased the risk approximately three times (p<0.0001).
Percutaneous coronary intervention in women presented better results along the analyzed period, with higher procedural success rates and lower rates of in-hospital complications.