Valvular & structural heart disease

Sex-Based Differences in Long-Term Outcomes Following Transcatheter Closure of Patent Foramen Ovale for Cryptogenic Stroke

Circ Cardiovasc IntervPublished Retrospective cohort study

Authors' conclusion

No sex-based differences in recurrent cerebrovascular events, survival, or new-onset atrial fibrillation were observed in this study, suggesting equal benefits for both sexes.

Study context

Population
Patients undergoing transcatheter patent foramen ovale closure to prevent recurrent cerebrovascular events, Ontario
Participants
783 patients
Exposure
Women vs men after transcatheter PFO closure
  • Womenn = 349
  • Menn = 434
Outcome
Long-term outcomes by sex: recurrent cerebrovascular events, survival, new-onset AF
Follow-up
Median 14 years
Methodological detailssingle-centre, linked to population-based administrative health databases
  • Single-centre
  • Linked to population-based administrative health databases

Main finding

As reported in the abstract

Recurrent cerebrovascular events, survival, new-onset AF
  • Event rates of recurrent cerebrovascular events, survival and new-onset AF not different by sex

Observational data: associations, not effects.

Further findings

Procedural and 30-day outcomes

No differences by sex

Safety

OutcomeHR (95% CI)
Pacemaker implantation · median follow-up 14 yearsAdjusted analysis; higher in men · adjusted analysis5.62 (1.57–20.1)

Original publication

Sex-Based Differences in Long-Term Outcomes Following Transcatheter Closure of Patent Foramen Ovale for Cryptogenic Stroke. Circ Cardiovasc Interv. Published 19 November 2024. doi:10.1161/circinterventions.124.014467

Composed by AI from the published abstract and checked against it. How Briefs are made →

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