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Vascular & Endovascular

 - pills

Unfractionated heparin-vitamin K antagonist combination was found to be the least effective of venous thromboembolism treatments in a meta-analysis published online Sept. 17 in JAMA while some novel oral anticoagulants carried lower bleeding risks.

 - Kidney - Renal

Experts from the Society for Cardiovascular Angiography and Interventions (SCAI) recommended the use of renal artery stenting to benefit patients who historically were excluded from clinical trials in a document published Aug. 19 in Catheterization and Cardiovascular Intervention.

 - aspirin

Venous thromboembolism (VTE) risks in patients taking aspirin were significantly reduced over nontreatment in a study published online Aug. 25  in Circulation.

 - patient managment, blood pressure

The best way to reduce a patient’s blood pressure may be by getting the patient more involved. Hypertension patients not only effectively self-managed, but saw a greater reduction in mean blood pressure compared to those who did not, according to a study published in the Aug. 27 issue of JAMA.

 - male patient

Hospitals that want to add efficiencies to their peripheral artery disease (PAD) programs might take a page from PCI’s playbook. Just as same-day PCI can be feasible and safe for selected patients, same-day discharge after angioplasty may be possible for PAD patients.


More Stories

Warfarin still offers benefits after traumatic brain injury

In spite of increased bleeding risks, resumption of anticoagulant therapy was beneficial to patients following a traumatic brain injury, according to an article published in the August issue of JAMA: Internal Medicine.

Thrombolysis may benefit patients with no visible occlusions on scans

Stroke patients without occlusions treated via thrombolysis fared better than patients who weren’t in a study published online July 29 in Stroke.

Atherectomy-filter combo safe, effective for PAD

A combination of directional atherectomy and embolitic protection filter to treat calcification in peripheral artery disease (PAD) patients showed a 97.2 percent success rate, according to a study published Aug. 1 in Catheterization and Cardiovascular Interventions.

Anticoagulants hold edge over catheter approach for DVT

Researchers are asking if physicians still are on a learning curve when it comes to catheter-directed thrombolysis for proximal deep vein thrombosis (DVT) patients after noting no improvements over anticoagulant therapy in a study published July 21 in JAMA: Internal Medicine.

Stroke trends

Two recently published studies on stroke attest to the gains made in controlling hypertension and reducing stroke risk factors—at least in older Americans.

Surgical patients at increased risk up to 9 months post-stroke

Stroke patients may be at a greater risk for post-surgical complications, particularly when they had a stroke less than three months prior to surgery, according to a study published July 16 in JAMA

Stroke differences dissolve by race, sex but not age

The incidence and mortality rates of stroke decreased for elderly men, women, blacks and whites over time for participants in the Atherosclerosis Risk in Communities group, a study published July 16 in JAMA showed. But for younger adults, the incidence trend didn’t carry through.

Stroke rates decline in U.S. among elderly patients

Incidence of ischemic stroke in patients aged 65 and older decreased by 41 percent between 1988 and 2008, according to data published in the July issue of the American Journal of Medicine. Hemorrhagic stroke decreased 16 percent in the same time period.

Patient safety indicators give endo edge over open AAA repair

For abdominal aortic aneurysm (AAA), endovascular aneurysm repair (EVAR) is safer than open aneurism repair (OAR), according to a study published July 9 in JAMA Surgery. The study compared minimally invasive EVAR with the invasive OAR surgery using patient safety indicators.

Early post-op visits to PCP reduce 30-day readmissions

Patients who underwent thoracic aortic aneurysm surgery and experienced complications benefited most from early primary care provider (PCP) visits, according to a study published online June 25 in JAMA: Surgery. Patients who saw their PCP soon after a complicated surgery had a 47 percent decrease in the likelihood of 30-day readmissions compared with those who didn’t.

Recall targets guidewires used in vascular procedures

Nitinol Devices & Components is recalling guidewires after reports of problems during vascular procedures.

Insertable cardiac monitor increases detection of afib post-stroke

Over the course of a year, insertable cardiac monitors detected atrial fibrillation in seven times as many stroke patients as those monitored by electrocardiograpy and clinician visits, according to a study published June 26 in the New England Journal of Medicine

30-day ECG monitoring spots candidates for anticoagulation

Prolonged electrocardiographic (ECG) monitoring in patients with cryptogenic stroke improved the detection of atrial fibrillation by a factor of five compared with standard 24-hour monitoring, results published June 26 in the New England Journal of Medicine showed. Detection changed anticoagulation treatment as well.

Male, elderly & 100+ cigarette history? That’s enough for USPSTF

Updated recommendations from the U.S. Preventive Services Task Force (USPSTF) call for screening male smokers ages 65 and older for abdominal aortic aneurysm.

FDA requires thromboembolism warning on testosterone products

Manufacturers of testosterone products will need to add a general warning about the risk of deep vein thrombosis and pulmonary embolism in their labeling, the FDA ruled. The warning is in addition to labeling that highlights thromboembolism as a possible consequence of polycythemia.

Thrombolysis for pulmonary embolism may lower mortality but raise bleeding risks

Compared with anticoagulant therapy, thrombolysis appears to have a lower mortality risk and lower risk of recurrent pulmonary embolism, but it does not come without risks of its own, a study published online June 17 in JAMA determined.

Length of stay, prior hospitalization foreshadow 30-day stroke readmissions

Clinicians with stroke patients, take note: A history of repeated hospitalizations before, a long stay in the hospital after and a higher National Institutes of Health Stroke Score may increase the risk of a patient returning within 30 days.

FDA panel votes in favor of drug-coated balloon for PAD

An FDA advisory panel voted unanimously in favor of approval for a drug-coated balloon to treat patients with peripheral artery disease (PAD). The first-of-its-kind device is indicated for use in the femoropopliteal arteries.

Despite more complications, women on par with men after PAD interventions

Women diagnosed with peripheral artery disease (PAD) were more likely to experience complications during peripheral vascular interventions than male counterparts, a study published June 17 in the Journal of the American College of Cardiology found. Nonetheless, both sexes had similar rates of procedural success.

69% of hospitals exceed average mortality risk for carotid artery stenting

About two in three hospitals certified by Medicare to provide carotid artery stenting (CAS) procedures had higher than average risks for mortality over a two-year period. These findings, published online June 3 in Circulation: Cardiovascular Quality and Outcomes, outline a way to review hospitals to determine which require more scrutiny prior to recertification.