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.

Circ: Millions of PAD patients not receiving adequate medical therapy

The majority of patients with peripheral artery disease (PAD) are not adequately receiving risk-lowering medications, such as statins, ACE inhibitors/ARBs or aspirin, which could increase their risk of mortality, according to a study published online June 20 in Circulation. The researchers noted that evaluating patients ankle brachial index could make physicians aware of the disease and more likely to prescribe medications. 

Stroke: Clot-busting drugs use rises, but more needed

The number of acute ischemic stroke patients administered clot-busting drugs has doubled since 2005, from 3.4 to 5.2 percent in 2009. However, according to new research published in Stroke, the numbers of patients who receive thrombolytic drugs are still low.

JACC: Increased activity, walking speed improves PAD outcomes

Peripheral artery disease (PAD) affects between eight and 12 million U.S. patients, who lose functionality quicker than those without the disease. New research has shown that a more sedentary lifestyle and slower walking speed can decrease a patients abilities and reduce calf muscle density; however, lifestyle interventions that promote exercise could possibly help prevent a quicker loss of functionality, according to research published in the June 7 issue of the Journal of the American College of Cardiology.

JACS: Outcomes not better at higher volume surgical hospitals

Referring patients to hospitals that have the largest volume of surgical procedures does not necessarily lead to improved outcomes for the overall population, according to a study in the February issue of the Journal of the American College of Surgeons.

Covidien's stroke device moves SWIFTly to FDA queue for approval

After a recommendation from the Data Safety Monitoring Board (DSMB) following promising results, Covidien has stopped enrollment into its SWIFT trial, which is investigating the use of the Solitaire FR revascularization device. The company said it will take the trial data directly to the FDA in hopes of approval.

AHJ: Renal revascularization + medical therapy decreases hypertension meds

Renal artery stenosis patients who undergo percutaneous renal revascularization in addition to medical therapy could require less antihypertensive medications; however, this was not true for improvements in serum creatinine or clinical outcomes when compared with medical management over a mean 29-month follow-up, according to a study published in this month's American Heart Journal.

CCI feature: Carotid stenting more cost-effective; will it replace CEA?

A cost-effectiveness analysis of the SAPPHIRE trial found that carotid artery stenting (CAS) with embolic protection may be more cost effective in the long run despite higher upfront costs when compared with carotid endarterectomy (CEA) in patients at a high risk for adverse clinical outcomes. However, one procedure may not outweigh the other in terms of becoming the gold standard of treatment, and the procedures may be complementary, not competitive.

Study: Value of therapeutic hypothermia after cardiac arrest confirmed

Patients who receive therapeutic hypothermia after resuscitation from cardiac arrest have favorable chances of surviving the event and recovering good functional status; however, the role of neuron-specific enolase is not clear, according to a study in the December 2010 issue of Annals of Neurology.

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.