Toward a Better Understanding of Sex- and Gender-Related Differences in Endovascular Stroke Treatment: A Scientific Statement from the American Heart Association/American Stroke Association

Johanna M. Ospel, Joanna D. Schaafsma, Thabele M. Leslie-Mazwi, Sepideh Amin-Hanjani, Negar Asdaghi, Gillian L. Gordon-Perue, Philippe Couillard, Niloufar N. Hadidi, Cheryl Bushnell, Louise D. McCullough, Mayank Goyal

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations

Abstract

There are many unknowns when it comes to the role of sex in the pathophysiology and management of acute ischemic stroke. This is particularly true for endovascular treatment (EVT). It has only recently been established as standard of care; therefore, data are even more scarce and conflicting compared with other areas of acute stroke. Assessing the role of sex and gender as isolated variables is challenging because they are closely intertwined with each other, as well as with patients' cultural, ethnic, and social backgrounds. Nevertheless, a better understanding of sex- and gender-related differences in EVT is important to develop strategies that can ultimately improve individualized outcome for both men and women. Disregarding patient sex and gender and pursuing a one-size-fits-all strategy may lead to suboptimal or even harmful treatment practices. This scientific statement is meant to outline knowledge gaps and unmet needs for future research on the role of sex and gender in EVT for acute ischemic stroke. It also provides a pragmatic road map for researchers who aim to investigate sex- and gender-related differences in EVT and for clinicians who wish to improve clinical care of their patients undergoing EVT by accounting for sex- and gender-specific factors. Although most EVT studies, including those that form the basis of this scientific statement, report patient sex rather than gender, open questions on gender-specific EVT differences are also discussed.

Original languageEnglish (US)
Pages (from-to)E396-E406
JournalStroke
Volume53
Issue number8
DOIs
StatePublished - Aug 1 2022

Bibliographical note

Publisher Copyright:
© 2022 American Heart Association, Inc.

Keywords

  • AHA Scientific Statements
  • ischemic stroke
  • standard of care
  • stroke

PubMed: MeSH publication types

  • Journal Article
  • Review

Fingerprint

Dive into the research topics of 'Toward a Better Understanding of Sex- and Gender-Related Differences in Endovascular Stroke Treatment: A Scientific Statement from the American Heart Association/American Stroke Association'. Together they form a unique fingerprint.

Cite this