Lean extends the Calculus of Inductive Constructions with quotient types, as discussed by Carneiro (2019, Sec 2.7.1). However, that and other choices break some metatheoretic properties of CIC (Carneiro, 2019, Sec. 3.1), properties that Coq developers care about; consistency is nevertheless preserved.
Coq does not add support for quotients; one must instead use setoids explicitly. By looking at Carneiro (2019), we can see the difference: unlike quotient A/R, a setoid (A, R) is not a standard type, and we must explicitly remember to use R instead of standard equality wherever needed. Both with setoids and quotients, we must ensure that functions respect the equivalence on their domain. However, when using quotients A/R, that must only be checked for functions that use A/R's eliminator, while with setoids we need more work. For example, take a function f : A/R -> B, and g : B -> C: we can