Vascular & Endovascular

This channel includes news on non-coronary vascular disease and therapies. These include peripheral artery disease (PAD), abdominal and thoracic aortic aneurysm (AAA and TAA), aortic dissection, pulmonary embolism (PE), critical limb ischemia (CLI), carotid artery and stroke interventions, venous interventions, deep vein thrombosis (DVT), and interventional radiology therapies. The focus on most of these therapies is minimally invasive, catheter-based procedures performed in a cath lab.

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Stroke update recommends use of stent retrievers

The American Heart Association (AHA) and the American Stroke Association (ASA) added the use of stent retrieval devices for treating some patients with acute ischemic stroke in updated guidelines published online June 29. The gold standard remains intravenous tissue plasminogen activator (tPA) for breaking up clots.

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Drug-coated balloons rise above standard balloons for 1-year patency

Treating patients with peripheral artery disease using drug-coated balloons proved superior to standard balloons for efficacy, at least one year out, in the LEVANT 2 randomized trial. Both approaches provided similar safety profiles.

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Legislation helps increase certified primary stroke centers

During the past decade, primary stroke centers have been established in all 50 states and Washington, D.C., with the goal of improving the care of acute stroke. As of the end of 2013, 32 percent of the short-term adult general hospitals with emergency departments were designated as certified primary stroke centers.

Endurant AAA Stent Graft Maintains Durable, Conistent and Proven Outcomes for Abdominal Aortic Aneurysm Repair in Long-Term Follow Up

Selected for nearly one of every two endovascular abdominal aortic aneurysm (AAA) repairs globally, the Endurant AAA stent graft system from Medtronic plc (NYSE: MDT) maintained durable, consistent and proven outcomes through five years of follow-up in the company’s U.S. clinical study of the implantable medical device, according to new clinical data presented today at the Society for Vascular Surgery’s “Vascular Annual Meeting.”

Medtronic pays $110M to acquire Aptus Endosystems

Medtronic expanded its reach in the endovascular market with the acquisition of Aptus Endosystems, a company that specializes in advanced technology for endovascular aneurysm repair and thoracic endovascular aneurysm repair.

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Reversal agent neutralizes dabigatran in interim analysis

An antidote for one commercially available novel oral anticoagulant (NOAC) proved safe and effective in an interim analysis of a nonrandomized study, researchers reported online June 22 in the New England Journal of Medicine. Don’t pop the cork on the champagne just yet, though.

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Medicare to pay in full for PAD drug-coated balloons

The Centers for Medicare & Medicaid Services (CMS) has agreed to fully reimburse the cost of drug-coated balloons for outpatient treatment of Medicare patients with peripheral artery disease, retroactive to April 1, 2015.

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Watchman device, warfarin have similar rates of all-cause stroke in AF patients

A meta-analysis of two randomized trials and two registries found the Watchman device was associated with significant improvements in hemorrhagic stroke, cardiovascular death and nonprocedural bleeding compared with warfarin in patients with nonvalvular atrial fibrillation. However, patients who received warfarin had fewer ischemic strokes, and the rates of all-cause stroke or systemic embolism were similar between the groups.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.