Barreda PAM, López FL, Rodríguez NL, González EAB, Antuña AT, Borges ML

Language: Spanish
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ABSTRACT

Introduction: The clinical outcome after percutaneous coronary intervention in women is a challenging dilemma, due to the increase in complications during and after the procedure.
Objetives: To characterize the evolution of female patients who underwent percutaneous coronary intervention.
Methods: A descriptive, retrospective, observational study was conducted in 1317 women who received percutaneous coronary intervention at the Cardiology and Cardiovascular Surgery Institute from January 2011 to December 2015.
Results: Mean age was 63.5 years, with a predominance of hypertension (70.1%) and diabetes (28.7%) as risk factors. The main diagnosis at admission was acute coronary syndrome without ST segment elevation and elective angioplasty the most frequently performed. Women where characterized by the presence of single vessel disease, involvement of the left anterior descending artery, proximal lesions, classification B2 and C, and direct implantation of the stent. The failure of the procedure was registered in 93 women for a 7.1%. Age over 65 years, as well as adverse angiographic characteristics, were significantly related to a higher probability of failure of the interventional procedure.
Conclusions: The women who receive intervention in our center exhibit an adverse clinical and angiographic profile. In them, the advanced age and higher angiographic complexity of the lesions is related to a higher probability of failure during the interventional procedure.