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.

Circling back to ORBIT-AF: Bridging anticoagulation may increase bleeding, adverse events risk

Before you cross that bridge, consider: A fresh look at the data from ORBIT-AF suggests that bridging oral anticoagulation instead of temporary cessation for a procedure may put patients at greater risk for bleeding or adverse events.

Deep dive into HTN-3 helps ID ways to improve

What, if anything, went wrong in the SYMPLICITY HTN-3 trial will probably remain up for debate, but a post hoc analysis may help to keep subsequent trials on the right path.

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Risk of VTE increases with duration of surgery

Consider it one more reason to make that surgery a quick one. Researchers found that the longer a surgery goes, the more risk of venous thromboembolism (VTE) for the patient. 

ZOLL snaps up Philips’ InnerCool assets

ZOLL Medical is buying the assets from Philips’ InnerCool temperature management business, which includes several products cleared for use in the U.S.

Lombard Medical presents two-year follow-up data from Aorfix PYTHAGORAS pivotal trial at 41st Annual VEITHsymposium

Lombard Medical, Inc., a medical device company focused on Endovascular Aneurysm Repair (EVAR) of abdominal aortic aneurysms (AAAs), today presented efficacy and safety data from the two-year follow up of the U.S. PYTHAGORAS pre-marketing approval (PMA) trial of Aorfix™, the first and only endovascular stent graft with global approvals for the treatment of patients with aortic neck angulations up to 90 degrees.

New data show dabigatran-specific antidote idarucizumab restores blood clotting mechanism in humans

New data on the investigational antidote idarucizumab show that it can reverse the effect of the oral anticoagulant Pradaxa (dabigatran etexilate) on both blood coagulation and the blood clotting mechanism. In a study in healthy volunteers, administration of idarucizumab after initial pre-treatment with Pradaxa was shown to restore systemic blood coagulation and re-enable the formation of fibrin, a key component of the blood clotting mechanism. This is the first time that an antidote to a novel oral anticoagulant (NOAC) has demonstrated such an effect. The findings were presented during the American Heart Association’s Scientific Sessions 2014. The antidote is still under investigation and has not yet been approved for clinical use.

Low-dose aspirin fails to impress in Japanese study

A subgroup analysis eventually may offer answers in a trial that assessed once-daily, low-dose aspirin to prevent atherosclerotic cardiovascular disease in Japan, according to a study published online Nov. 17 in JAMA. The trial was terminated early due to futility.

San Francisco scientist wins AHA Research Achievement Award for ‘transcendent’ findings of blood clot controls leading to new therapy

The American Heart Association today presented its Research Achievement Award for 2014 to Shaun R. Coughlin, M.D., Ph.D., of the University of California, San Francisco, “for transcendent discoveries of cellular signaling mechanisms that control blood platelet activation and clot formation, findings that have led to a new medical therapy for preventing heart attacks and strokes.”

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.