Abstract 18915: Bleeding and Vascular Complications Following PCI in Women No Longer Exceed Those of Men: A Single Center Comparison of Then (2008) versus Now (2015)

Introduction: Historically, women have had higher vascular complications compared to men when undergoing a percutaneous coronary intervention (PCI). While increasing transradial access reduces bleeding complications, other contemporaneous changes such as a reduction in GP IIbIIIa inhibitor use and novel antithrombotic approaches also contribute. Few real-world studies have been done to assess the effects of bleeding reduction techniques on the gap between men and women in PCI-related bleeding complications. Hypothesis: Transradial access and other bleeding-avoidance approaches for PCI have narrowed the gender gap between men and women in vascular and bleeding complications. Methods: We queried the Dartmouth Dynamic Registry for all PCI’s performed at a time when radial access was rare and IIbIIIa use was more routine (2008) and a more recent time when radial access was more common and IIbIIIa use was rare (2015). Baseline demographics, procedural characteristics, and outcomes were collected for both time ...