Association of Sex With the Use and Outcomes of Carotid Revascularization: A Cohort Study.

ABSTRACT:

Background

Stroke is a leading cause of death that disproportionately affects women. Treating carotid stenosis with carotid artery stenting (CAS) or carotid endarterectomy (CEA) can prevent ischemic stroke. Yet, the sex-specific use and long-term outcomes of these interventions remain unclear. Thus, we sought to investigate sex-based differences in the treatment and outcomes of carotid stenosis.

Methods

We analyzed carotid revascularizations in the Vascular Quality Initiative, a national clinical registry. Patients were linked to Medicare claims to identify long-term outcomes. Our study cohort included patients undergoing index CAS or CEA between 2005 and 2015 who were fee-for-service Medicare beneficiaries aged 65+. The primary exposure was sex, and the primary outcome was

SUBMITTER: Ramkumar N 

PROVIDER: S-EPMC12778860 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature