{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:38:02Z","timestamp":1792719482666,"version":"4.5.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2023,3,7]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Thoracic endovascular aortic repair (TEVAR) has been increasingly used for the treatment of descending thoracic aortic aneurysms and dissections. This study sought to evaluate the influence of sex on outcomes after TEVAR.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              This was an observational study from the Nationwide Readmissions Database analyzing all patients who underwent TEVAR from 2010 to 2018. Sampling weights were used to generate national estimates.\n              <jats:italic>International Classification of Diseases\u2013Clinical Modification<\/jats:italic>\n              codes were used to identify patients with thoracic aortic aneurysms or dissections who underwent TEVAR. Patients were dichotomized according to sex, and 1:1 propensity score matching was applied. Mixed model regression for in\u2010hospital mortality and weighted logistic regression with bootstrapping for 30\u2010day readmissions were performed. A supplemental analysis was performed according to pathology (aneurysm or dissection). A weighted total of 27\u2009118 patients were identified. Propensity\u2010matching yielded 5026 risk\u2010adjusted pairs. Men were more likely to undergo TEVAR for type B aortic dissection, whereas women were more likely to undergo TEVAR for aneurysm. In\u2010hospital mortality was roughly 5% and was equivalent in the matched groups. Men were more likely to have paraplegia, acute kidney injury, and arrhythmias, while women were more likely to require transfusions after TEVAR. There were no significant differences in myocardial infarction, heart failure, respiratory failure, spinal cord ischemia, mesenteric ischemia, stroke, or 30\u2010day readmission between the matched groups. On regression analysis, sex was not an independent risk factor for in\u2010hospital mortality. Female sex was, however, significantly associated with a\n              <jats:italic>decreased<\/jats:italic>\n              odds of 30\u2010day readmission (odds ratio, 0.90 [95% CI, 0.87\u20130.92];\n              <jats:italic>P<\/jats:italic>\n              &lt;0.001).\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Women are more likely to undergo TEVAR for aneurysms, while men are more likely to undergo TEVAR for type B aortic dissection. In\u2010hospital mortality after TEVAR is comparable among men and women irrespective of indication. Female sex is independently associated with a reduced odds of 30\u2010day readmission after TEVAR.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.122.025520","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T10:13:57Z","timestamp":1677492837000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Sex\u2010Related Differences in Clinical Outcomes After Thoracic Endovascular Aortic Repair"],"prefix":"10.1161","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2333-1086","authenticated-orcid":false,"given":"Sarah","family":"Yousef","sequence":"first","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Brown","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6812-3056","authenticated-orcid":false,"given":"Edgar","family":"Aranda\u2010Michel","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery University of Pittsburgh Medical Center Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5991-6385","authenticated-orcid":false,"given":"Derek","family":"Serna\u2010Gallegos","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"},{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yisi","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"},{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6659-2617","authenticated-orcid":false,"given":"Takuya","family":"Ogami","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1737-4012","authenticated-orcid":false,"given":"Ibrahim","family":"Sultan","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Department of Cardiothoracic Surgery University of Pittsburgh Pittsburgh PA"},{"name":"Heart and Vascular Institute University of Pittsburgh Medical Center Pittsburgh PA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.14823"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.003792"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.118.11851"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03236-2"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000130644.78677.2C"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2016.06.006"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/hvaa297"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199801000-00004"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.02.026"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.ATHORACSUR.2021.03.100"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.035805"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.01.040"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2016.12.103"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.06.058"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2019.04.022"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.23736\/S0392-9590.19.04158-0"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003319720987956"}],"container-title":["Journal 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