2021
DOI: 10.1111/jce.14878
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Gender differences in major vascular complications of catheter ablation for atrial fibrillation

Abstract: Aims Catheter ablation (CA) for atrial fibrillation (AF) has a considerable risk of procedural complications. Major vascular complications (MVCs) appear to be the most frequent. This study investigated gender differences in MVCs in patients undergoing CA for AF in a high‐volume tertiary center. Methods A total of 4734 CAs for AF (65% paroxysmal, 26% repeated procedures) were performed at our center between January 2006 and August 2018. Patients (71% males) aged 60 ± 10 years and had a body mass index of 29 ± 4… Show more

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Cited by 5 publications
(10 citation statements)
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“… 31 Several factors postulated by others for late referral include patient factors (downplaying symptoms, personal/family situation) and gender‐specific higher individual refusal rates. 32 Females in our study had higher CHA 2 DS 2− VASc scores (even when accounting for additional points for female sex) but also significantly higher CHADS 2 scores, similar to previous studies, 6 , 7 , 11 , 12 , 13 , 17 , 18 , 19 indicating that they potentially had higher stroke risk and could possibly benefit more from the restoration of sinus rhythm. We saw no significant difference in insurance status that could explain differences in procedures and noted more federal insurance in females than males in our study.…”
Section: Discussionsupporting
confidence: 89%
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“… 31 Several factors postulated by others for late referral include patient factors (downplaying symptoms, personal/family situation) and gender‐specific higher individual refusal rates. 32 Females in our study had higher CHA 2 DS 2− VASc scores (even when accounting for additional points for female sex) but also significantly higher CHADS 2 scores, similar to previous studies, 6 , 7 , 11 , 12 , 13 , 17 , 18 , 19 indicating that they potentially had higher stroke risk and could possibly benefit more from the restoration of sinus rhythm. We saw no significant difference in insurance status that could explain differences in procedures and noted more federal insurance in females than males in our study.…”
Section: Discussionsupporting
confidence: 89%
“… 27 , 28 , 29 , 30 Female patients in this study were older than males (average age 67.89 vs. 63.01 years, p < .001), similar to previous studies in which mean age for females ranged 60.9–67.9 years compared to 56 to 63.3 years for males. 7 , 8 , 9 , 11 , 12 , 13 , 14 , 15 , 17 , 18 , 19 , 20 , 21 Other authors note both older age and lower referral rates for ablation procedures in females. 31 Several factors postulated by others for late referral include patient factors (downplaying symptoms, personal/family situation) and gender‐specific higher individual refusal rates.…”
Section: Discussionmentioning
confidence: 99%
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