Background
Women with coronary artery disease are at higher risk for adverse outcomes than men after coronary intervention. The SPIRIT IV clinical trial, a prospective, multicenter, randomized controlled trial, compared treatment with the XIENCE V® (Abbott Vascular, Santa Clara, CA, USA) everolimus-eluting stent (EES) to the TAXUS® (Boston Scientific, Natick, MA, USA) paclitaxel-eluting stent (PES), demonstrating similar reductions in TLF, MACE and stent thrombosis in women and in men at 1 year. Clinical outcomes in patients treated with EES were generalizable across genders at 1 year. Outcomes at 2 years have not been reported.
Methods
The SPIRIT IV clinical trial enrolled 3687 subjects at 66 US institutions; 32.2% ( n =1188) were women. All patients underwent PCI of up to three native de novo coronary artery lesions ≤28 mm in length with reference vessel diameters between 2.5 and 4.25 mm.