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Arterial vascular disease underdiagnosed, undertreated in older US women
Date:11/21/2007

AA in women. This may be misguided, the researchers contend, due to the fact that AAA is somewhat less common in women, compared to men. However there are certain groups of women with risk factors such as old age, smoking history and family history that have significantly higher likelihood of developing abdominal aortic aneurysms who deserve screening. Even more so, AAA appears to be more dangerous in women because they are more prone to rupture in smaller sizes and once they rupture are more fatal.

  • Women are less likely than men to be offered minimally invasive endovascular techniques to correct AAA, mainly because they have smaller arteries and the current endovascular devices are made to fit the male anatomy. At the same time, female patients are more likely than males to die following traditional open aneurysm surgery. However when they undergo endovascular repair, their likelihood of dying is almost as low as that of men; and once the endovascular repair is completed , they actually respond better than men, with more rapid shrinkage of their aneurysm

    For lower-extremity arterial occlusive disease:

    • The risk for this type of restricted blood flow in the legs rises quickly for women after menopause. In fact, at age 70, males and females share identical odds for acquiring the potentially crippling condition.

    • Certain risk factorsincluding osteoporosis and the probable use of HRTheighten womens risk for lower-extremity vascular illness. Women too often delay seeking medical help for the problem, leading to a higher rate of advanced disease at time of diagnosis. Because they seek medical help late, they are more likely than men to require amputation. Rates of wound complications when they undergo bypass surgery are also higher among women. There is not much information available, regarding the outcomes of minimally invasive procedures such as balloon angioplasty or stenting in women. A review of minimal invasive proced
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    Contact: Belinda Mager
    bem9048@nyp.org
    212-305-5587
    New York- Presbyterian Hospital/Columbia University Medical Center
    Source:Eurekalert

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