| Popis: |
Current practice guidelines for the management of suprainguinal peripheral vascular disease continue to be principally derived from data with male-predominant patient populations. Despite targeted research toward sex disparity in cardiovascular health and diseases, there is no clear consensus on prognosis and best management for women with aortoiliac occlusive disease (AIOD). Indeed, many studies that indicate comparative investigation between male and female subjects often report statistical differences in the outcomes rather than conducting sex-specific treatment arms or analyses. Those that do derive sex-distinguished outcomes often have contradictory conclusions to other reported investigations. There are no randomized controlled studies from which to derive consensus. Prognostic and outcome specific data for women with aortoiliac occlusive disease remains unclear, both because it affects reproductive health as well as perspectives regarding optimum medical versus operative management. We discuss areas of future investigation to increase awareness of the gaps of knowledge that may ultimately lead to disparities in practice. |
