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.

Lancet: When stroke strikes, mobile units are twice as effective as EMS

Emergency responders equipped with mobile stroke units can roughly halve the time it normally takes to get suspected stroke patients from the initial call for help to treatment decision, potentially increasing the number of patients able to receive life-saving, damage-reducing treatment.

SIR: EVAR bests open aortic aneurysm repair

Source: RadiologyEmergency endovascular aneurysm repair (EVAR) effectively treats potentially fatal ruptured aneurysms in the abdomen without major surgery, involves less recovery time and fewer discharges to inpatient care facilities, according to research presented March 27 at the annual meeting of the Society of Interventional Radiology in San Francisco.

NEJM: Will study results provide CLOSURE for PFO patients?

After nine years of waiting, the results are out on a trial evaluating whether device closure offered benefit over medical therapy alone for the prevention of stroke or transient ischemic attack (TIA) in patent foramen ovale (PFO) patients. However, the CLOSURE I trial may have missed its mark, as it was found that undergoing an expensive device closure procedure may be no more effective than medical therapy.

PAD: Making Strides, on Some Fronts

Results from recent clinical trials on bare-metal stents, drug-eluting stents and stent grafts show promise as less invasive treatments for patients with peripheral artery disease (PAD), including patients with lesions in the femoropopliteal artery. Some interventional cardiologists look to stenting based on new technologies as the future standard of care. These advancements may broaden options for physicians and patients, but there is some debate as to whether they lead to an improved quality of life in the long run.

Stroke: Diabetes duration ups risk of ischemic stroke

Does duration of diabetes impact a patient's risk for ischemic stroke? Yes, said researchers from Columbia University when they found that the risk of ischemic stroke increases 3 percent each year and triples when diabetes is present for 10 years or more. The study results were published March 1 in Stroke.

Bard wins $371M judgment from Gore over vascular graft patent

A drawn-out infringement suit over patented prosthetic vascular grafts has finally been settled, as a divided federal appeals court decided Feb. 10 for C. R. Bard over W. L. Gore in a $371 million judgment.

Study: Stroke score helps determine need for add-on strategies

Researchers in Europe have designed and validated a simple, fast and cost-free scoring system to predict outcomes for ischemic stroke patients treated with intravenous alteplase. In their study published Feb. 7 in Neurology, the authors suggested the score could be used to identify patients who might benefit from add-on rescue strategies such as endovascular treatments or hypothermia, if the model holds up after further validation.

Stealth 360 sales boost Cardiovascular Systems Q2 revenues

Revenues from the Stealth 360 system for treating peripheral artery disease helped Cardiovascular Systems achieve gains in the second quarter of fiscal 2012, the company reported. Net loss widened compared to the second quarter of the previous year.

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.