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.

Carotid endarterectomy (CEA) is not associated with a significant reduction in the risk of dementia, according to a new analysis published in the European Journal of Vascular & Endovascular Surgery.[1] However, the study’s authors noted, it did still lead to considerable improvements in stroke risk.

However, researchers noted, there was still a clear improvement in stroke risk.

Boston Scientific’s EMBOLD Fibered Detachable Coil.

It has been a busy few weeks for the FDA, with plenty of big-name approvals and recalls making the news, but there have also been some other big announcements related to solutions receiving FDA clearance. 

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Researchers introduced decision support tools to 13 different hospitals, tracking the overall impact on shared-decision making and patient knowledge. 

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Given high mortality and a high threat of limb loss for CLTI patients, the statement aims to standardize core competencies and improve patient outcomes. 

USPSTF updates its stance on aspirin use to prevent CVD, sees no benefit for patients 60 or older.

These recommendations, the group emphasized, do not include patients with a history of CVD or those who are already taking aspirin for another reason.

The catheters were developed to be used during percutaneous coronary intervention procedures for coronary artery disease. 

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The research was presented in South Korea at a two-day event hosted by the American College of Cardiology and Korean Society of Cardiology.

Ischemic stroke CT imaging. Images courtesy of RSNA

A new study of the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) National Telestroke Program shows the program prevents unnecessary hospital transfers for stroke patients and increases outcomes for patients at rural VA clinics.

A renal failure patient receives dialysis. A new study shows a drop in death in kidney failure patients from heart attack, PE and stroke.

The new analysis, published in JAMA Network Open, focused on more than 220,000 dialysis patients treated from 1998 to 2015. 

virtual reality endovascular surgery in the cath lab. The virtual reality training sessions were designed to feature "the same sights, sound and sensations a surgeon would encounter during real procedures ." 

The virtual reality training sessions were designed to feature "the same sights, sound and sensations a surgeon would encounter during real procedures." 

 Drug-coated balloons were associated with a lower risk of bleeding after PCI than drug-eluting stents, the study's authors reported. 

Drug-coated balloons were associated with a lower risk of bleeding after PCI than drug-eluting stents, the study's authors reported. 

PCI. Long-term P2Y12 inhibitor monotherapy after an initial three months of dual antiplatelet therapy (DAPT) is associated with three-year percutaneous coronary intervention (PCI) outcomes similar to prolonged DAPT, according to new research published in JAMA Cardiology.[1] The study’s authors noted that this strategy was also associated with a lower risk of bleeding events than prolonged DAPT. Photo courtesy of Jose Arellano.

The study's authors examined data from the DANAMI-3 trial, focusing on such outcomes as all-cause mortality, recurrent MI and target vessel revascularization.

Around the web

“This type of screening could be used to identify individuals who would benefit from statin medication but are currently untreated," one specialist said. The full analysis will be presented at RSNA 2022 in Chicago. 

U.S. physicians might be missing out on innovative medical research due to the overwhelming amount of reading and clinical work they are faced with, according to a recent survey.

Physicians are now bracing for payment cuts after the Centers for Medicare and Medicaid Services (CMS) published its final rule for the 2023 Physician Fee Schedule.

   
   
   
   
   
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