Research Article

Gender Differences in Long-Term Outcomes of Medical Therapy and Successful Percutaneous Coronary Intervention for Coronary Chronic Total Occlusions

Table 1

Baseline clinical, angiographic, and procedural characteristics and in-hospital outcome in female and male patients with CTOs.

Female (n = 304)Male (n = 990) value

Age, years68.3 ± 8.562.8 ± 10.5<0.001
Smoking (%)21 (6.9)506 (51.1)<0.001
Hypertension (%)246 (80.9)634 (64.0)<0.001
Diabetes mellitus (%)145 (47.7)319 (32.2)<0.001
Dyslipidemia (%)235 (77.3)693 (70.0)0.008
Familial history of CAD (%)31 (10.2)118 (11.9)0.238
Previous MI (%)120 (39.5)481 (48.6)0.003
Previous PCI (%)34 (11.2)157 (15.9)0.024
CKD (%)40 (13.2)69 (7.0)0.001
Heart failure (%)54 (17.8)178 (18.0)0.914
LVEF (%)53.5 ± 8.552.5 ± 9.30.121
Baseline medication
Aspirin (%)299 (98.4)970 (98.0)0.677
Clopidogrel (%)280 (92.1)920 (92.9)0.628
Statin (%)287 (94.4)945 (95.5)0.455
β blocker (%)235 (77.3)757 (76.5)0.763
ACEI or ARB (%)203 (66.8)627 (63.3)0.274
One CTO lesion (%)268 (88.2)840 (84.8)0.150
Two CTO lesions (%)33 (10.9)140 (14.1)0.141
LAD (%)101 (33.2)358 (36.2)0.349
LCX (%)86 (28.3)278 (28.1)0.944
RCA (%)143 (47.0)482 (48.7)0.615
Multivessel disease (%)246 (80.9)808 (81.6)0.710
Proximal or mid
CTO location (%)225 (74.0)755 (76.3)0.424
Branched CTO45 (14.8)145 (14.6)0.946
Blunt stump (%)134 (44.1)465 (47.0)0.377
Calcification (%)69 (22.7)188 (19.0)0.156
Bending >45° (%)121 (39.8)465 (47.0)0.028
Length ≥20 mm (%)175 (57.6)629 (63.5)0.061
J-CTO score1.59 ± 1.241.74 ± 1.120.162
SYNTAX score20.1 ± 7.622.5 ± 8.70.073
Contrast volume (ml)177 ± 81179 ± 880.977
Number of stents1.34 ± 0.681.37 ± 0.700.995
Total stent length (mm)38.1 ± 21.337.7 ± 22.60.758
Coronary dissection (%)02 (0.2)0.999
Coronary perforation (%)1 (0.3)1 (0.1)0.999
In-hospital death (%)1 (0.3)6 (0.6)0.999

Values are presented as the mean ± standard deviation or n (%). ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin-receptor blocker; CAD, coronary artery disease; CKD, chronic kidney disease; CTO, chronic total occlusion; J-CTO, Japanese-chronic total occlusion; LAD, left ascending coronary artery; LCX, left circumflex coronary artery; LVEF, left ventricular ejection fraction; MI, myocardial infarction; PCI, percutaneous coronary intervention; RCA, right coronary artery.