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.

Lowering blood pressure after ischemic stroke does not affect the risk of death

A meta-analysis of 13 randomized controlled trials found lowering blood pressure in patients with early ischemic stroke did not affect the risk of death or dependency. There was also no difference in the risks of recurrent vascular events, recurrent stroke and serious adverse events.

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Home-based walking regimen helps patients with PAD

People with peripheral artery disease (PAD) who adhered to unsupervised, home-based walking exercise had improved functioning and mobility up to a year after beginning the regimen.

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Bridge therapy during warfarin interruption leads to high bleeding risk

A retrospective cohort study found that patients with venous thromboembolism who received bridge therapy had a 17-fold increase in the risk of bleeding during warfarin therapy interruption for invasive procedures compared with those who did not receive bridge therapy.

Adults reporting depression more likely to experience strokes

An analysis of U.S. adults older than 50 found that people with high depressive symptoms during consecutive interviews during a two-year period were twice as likely to have a stroke compared with those who had no or few depressive symptoms.

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Wide variation in outcomes following CAS procedures at U.S. hospitals

An analysis of a national registry found there were wide variations in care for patients undergoing carotid artery stenting (CAS) at U.S. hospitals. Based on the researchers’ model, outcomes varied fourfold among hospitals and odds of experiencing a stroke or dying varied by 50 percent for two randomly selected hospitals treating the same patient.

HRS.15: Patients underestimate risk of stroke with atrial fibrillation

BOSTON—Patients with atrial fibrillation underestimated the risk of stroke but wanted to work with their physicians and caregivers to better manage their disease, according to a survey released on May 13 from the Heart Rhythm Society and the National Stroke Association.

New resources help healthcare providers understand, diagnose mystery strokes

A new guide helps healthcare professionals better understand and diagnose strokes of unknown cause. The free resource is part of an American Heart Association/American Stroke Association initiative in collaboration with Medtronic plc which aims to reduce the rate of recurrent strokes in the U.S.

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Hospital size and type affect mortality following OAR and EVAR

Factors in hospitals such as their size and type affect mortality after patients undergo open abdominal aortic aneurysm repair (OAR) or endovascular abdominal aortic aneurysm repair (EVAR), according to a database analysis.

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.