In this thought-provoking episode of the ESVS Podcast we delve into an important and under-discussed issue in vascular surgery: Are women left behind in carotid stenosis treatment?

Carotid stenosis is a contributor to ischemic strokes, and some papers show women may experience delays or suboptimal care in comparison to men. In this episode, we will listen to Professor Barbara Rantner, a senior consultant vascular surgeon from Munich, Germany, and Dr Claudia Schrimpf, a leading expert from Zurich, Switzerland. Together, they explore sex-related differences in carotid disease treatment and share their insights on the latest research and clinical experiences.

Join us in this episode!

References:

Naylor R, Rantner B, Ancetti S, de Borst GJ, De Carlo M, Halliday A, Kakkos SK, Markus HS, McCabe DJH, Sillesen H, van den Berg JC, Vega de Ceniga M, Venermo MA, Vermassen FEG. European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease. Eur J Vasc Endovasc Surg. 2023;65(1):7–111. doi:10.1016/j.ejvs.2022.04.011

van Dam-Nolen DHK, van Egmond NCM, Koudstaal PJ, van der Lugt A, Bos D. Sex differences in carotid atherosclerosis: a systematic review and meta-analysis. Stroke. 2023;54(2):315–326. doi:10.1161/STROKEAHA.122.041046

Skowronska M, Piorkowska A, Czlonkowska A. Differences in carotid artery atherosclerosis between men and women in the early phase after ischemic event. Neurol Neurochir Pol. 2018;52(1):35–40. doi:10.1016/j.pjnns.2017.09.002

Schmid S, Tsantilas P, Knappich C, Kallmayer M, König T, Breitkreuz T, Zimmermann A, Kuehnl A, Eckstein H-H. Risk of in-hospital stroke or death is associated with age but not sex in patients treated with carotid endarterectomy for asymptomatic or symptomatic stenosis in routine practice: secondary data analysis of the nationwide German statutory quality assurance database from 2009 to 2014. J Am Heart Assoc. 2017;6(10):e004764. doi:10.1161/JAHA.116.004764

Behrendt CA, Ten Bosch JA, Cronenwett JL, Dick F, Guekht A, Halliday A, et al. Sex-related differences in indication and procedural outcomes of carotid interventions in VASCUNET. Eur J Vasc Endovasc Surg. 2023;66(1):7–14. doi:10.1016/j.ejvs.2023.04.022