OBJECTIVES: The outcome for a wide variety of diseases and treatment methods varies by gender. In an effort to determine whether gender has a role in the outcome of @entity449 repair, we analyzed data from consecutive @entity1 treated at a single institution over 6 years. METHODS: Over 6 years ending in March 2002, 704 @entity1 underwent endovascular repair of an @entity1028 at The Cleveland Clinic. Six hundred six @entity1 (86.1%) were @entity1 and 98 @entity1 (13.9%) were @entity1 . Preprocedure and postprocedure imaging studies were evaluated to determine the frequency of @entity439 sac shrinkage or growth, defined as diameter change equal to or greater than 5 mm. Presence and type of endoleak was assessed with non-contrast material-enhanced, post-contrast-enhanced, and delayed post-contrast-enhanced computed tomography scans. These and other clinical variables were assessed with the Kaplan-Meier method and the Cox-Mantel log-rank test, and values were expressed as mean +/- SE. RESULTS: Male and female @entity1 were comparable with respect to baseline comorbid conditions. @entity1 , however, were slightly older (76.7 +/- 0.7 years vs 74.4 +/- 0.3 years; P =.009), and had slightly smaller @entity439 (5.2 +/- 0.1 cm vs 5.4 +/- 0.04 cm; P =.033). There were no gender-specific differences in perioperative mortality ( @entity1 , 1.3%; @entity1 , 3.1%; P =.197) or mid-term (24 months) survival ( @entity1 , 80% +/- 2.6%; @entity1 , 78% +/- 8.1%). Similarly, there were no differences at 24 months in risk for graft migration (7.5% +/- 2.0% vs 5.4% +/- 3.2%), need for secondary remedial procedures (24% +/- 2.9% vs 21% +/- 6.3%), conversion to open surgery (3.9% +/- 1.5% vs 3.8% +/-2.7%), or post-repair @entity1756 (1.1% +/- 0.9% vs 2.2% +/-2.2%) in male and female @entity1 , respectively. In contrast, risk for graft limb occlusion at 24 months was significantly higher in @entity1 than in @entity1 (11% +/- 5.2% vs 3.3% +/- 1.1%; P =.022). While frequency of endoleak of any type did not differ among male and female @entity1 , @entity439 sac shrinkage at 24 months was more rapid in @entity1 (76% +/- 8.1% vs 57% +/- 3.5%; P =.019). CONCLUSIONS: With the exception of slightly older age and somewhat smaller @entity439 , female @entity1 are similar to male @entity1 undergoing @entity439 repair. A greater frequency of graft limb occlusion was observed in female @entity1 , but no statistically significant differences were detected in survival, rupture risk, or need for secondary procedures. Moreover, a more rapid rate of @entity439 sac shrinkage was detected in @entity1 . These observations suggest that @entity439 repair should be offered to suitable candidates irrespective of gender.

XXXX repair: gender-specific results.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Women', 'men'] @entity449 :: ('MESH:D001014', 'Disease') :: ['endovascular aortic aneurysm'] @entity439 :: ('MESH:D000783', 'Disease') :: ['endovascular aneurysm', 'aneurysms', 'aneurysm'] @entity1028 :: ('MESH:D017544', 'Disease') :: ['infrarenal abdominal aortic aneurysm'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['aneurysm rupture']
@entity439 :: (MESH:D000783,Disease) :: ['Endovascular aneurysm']
