%0 Journal Article %T Sex differences in outcomes following less-invasive left ventricular assist device implantation %A Mariani, Silvia %A Li, Tong %A Bounader, Karl %A Boethig, Dietmar %A Schöde, Alexandra %A Hanke, Jasmin S. %A Michaelis, Jana %A Napp, L. Christian %A Berliner, Dominik %A Dogan, Guenes %A Lorusso, Roberto %A Haverich, Axel %A Schmitto, Jan D. %J Annals of Cardiothoracic Surgery %D 2021 %B 2021 %9 %! Sex differences in outcomes following less-invasive left ventricular assist device implantation %K %X Background: Worse outcomes in women compared to men undergoing left ventricular assist device (LVAD) implantation remain an underestimated problem in heart failure (HF) patients. With device miniaturization, less-invasive LVAD implantation techniques have gained relevance, but their impact on outcomes in women is unknown. This study investigates sex-related differences in patients undergoing LVAD implantation through less-invasive procedures. Methods: This retrospective single-center cohort study included patients who underwent isolated LVAD implantation between 2011 and 2018 through less-invasive techniques. Propensity score matching (PSM) was utilized to balance preoperative heterogeneity. Primary endpoint was two-year survival, and secondary endpoints included long-term survival, surgical outcomes and postoperative adverse events. Results: Baseline analysis of 191 patients (females 18.3%) showed differences in terms of age [female (median, 52; IQR, 47–61); male (median, 58.5; IQR, 49–66); P=0.005], underlying diagnosis (P %U https://www.annalscts.com/article/view/16807 %V 10 %N 2 %P 255-267 %@ 2304-1021