Gender differences in patients undergoing transcatheter aortic valve replacement: a cross-sectional study

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dc.contributor.authorAktan, Adem
dc.contributor.authorErtaş, Faruk
dc.date.accessioned2024-04-24T19:13:14Z
dc.date.available2024-04-24T19:13:14Z
dc.date.issued2022
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: Transcatheter aortic valve replacement (TAVR) is an effective treatment modality for patients with high-risk symptomatic severe aortic stenosis (AS) who are not suitable for surgery. Gender-related differences in TAVR are still deliberated, thus in this study we aimed to investigate the effect of gender on clinical outcomes in patients who underwent TAVR in our clinic.Methods: 270 consecutive patients who underwent TAVR between January 2015 and January 2022 were included in the study. In addition to the patient's medical history, transthoracic or transesophageal echocardiography and computed tomography findings were examined to evaluate AS. Patients with symptomatic, high-risk severe aortic stenosis were treated with self-expanding Evolute-R devices. The patients were followed up for the first year after discharge. Follow-up was done by clinical visits and phone calls.Results: In-hospital mortality (5.4% vs. 7.4%; p=0.507), death at one-year follow-up (14.9% vs. 13.1%, p=0.681), and major adverse cardiovascular and cerebrovascular events (MACCE) at one-year follow-up (26.4% versus 23.8%, p =0.627) rates, there was no statistically significant difference between male and female genders. Kaplan Meier curves were used for survival analysis, including one-year mortality and MACCE rates. Accordingly, no statistically significant difference was found between the two genders in terms of mortality and MACCE (respectively; p= 0.910; p=0.889).Conclusion: In our patient group who underwent TAVR, we could not detect a significant difference in clinical outcomes between both genders. In recent years, the effect of gender on clinical outcomes may decrease with device and procedural developments.en_US
dc.identifier.doi10.30565/medalanya.1177186
dc.identifier.endpage292en_US
dc.identifier.issn2587-0319
dc.identifier.issue3en_US
dc.identifier.startpage285en_US
dc.identifier.trdizinid1216478
dc.identifier.urihttps://doi.org/10.30565/medalanya.1177186
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1216478
dc.identifier.urihttps://hdl.handle.net/11468/28483
dc.identifier.volume6en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isoenen_US
dc.relation.ispartofActa Medica Alanya
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleGender differences in patients undergoing transcatheter aortic valve replacement: a cross-sectional studyen_US
dc.titleGender differences in patients undergoing transcatheter aortic valve replacement: a cross-sectional study
dc.typeArticleen_US

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