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.

FDA: Higher doses of tofacitinib tied to increased risks of death, pulmonary embolism

The FDA issued a safety alert Feb. 25 warning that a 10 mg, twice-daily dose of tofacitinib—sold under the brand names Xeljanz and Xeljanz XR—has been linked to an increased risk of pulmonary embolism and death in patients with rheumatoid arthritis. That dose is only approved for patients with ulcerative colitis, the agency said.

February 26, 2019
Cheryl Petersilge, MD, MBA, with the department of regional radiology at the Cleveland Clinic, examined enterprise imaging—and how radiologists must integrate and collaborate with other departments. Her clinical perspective clinical perspective was published online in the October issue of the American Journal of Roentgenology.

‘Inadvertently reversed’ mortality data further muddy debate on paclitaxel PAD treatments

In the latest twist in the debate over the long-term safety of paclitaxel-coated balloons and stents, a correction published Feb. 19 in Circulation said the five-year mortality results of the Zilver PTX randomized trial were “inadvertently reversed”—and that uncoated devices were actually associated with better survival. 

February 20, 2019

Startup selling blood from young donors crumbles under FDA scrutiny

A startup that sold young donors’ blood to consumers in several states with the goal of treating conditions such as dementia, Alzheimer’s disease and heart disease has apparently shut down in the wake of an FDA statement that the blood-infusion technique has no scientific merit.

February 20, 2019
Adults who regularly drink sweetened beverages face a heightened risk of atrial fibrillation (AFib), according to new data published in Circulation: Arrhythmia and Electrophysiology.

Artificially sweetened drinks linked to increased risk of stroke

Women who consumed multiple artificially sweetened beverages per day, including diet sodas and fruit drinks, were significantly more likely to die or suffer ischemic strokes over an average follow-up period of 12 years, according to an observational study published Feb. 14 in Stroke.

February 19, 2019

‘Physiological age’ a better predictor of survival than chronological age

Physiological age based on exercise performance is a better predictor of long-term survival than chronological age, according to a study of more than 126,000 patients at the Cleveland Clinic.

February 15, 2019
Medtronic IN.PACT Admiral drug-coated balloon (DCB)

Paclitaxel-coated devices found safe in new study—but the debate isn’t over

Paclitaxel-coated devices were found safe for the treatment of femoropopliteal artery revascularization in a JAMA Cardiology study published Feb. 12—the latest installment in a continuing debate over whether drug-coated stents and balloons raise long-term mortality risk in patients with peripheral artery disease (PAD).

February 14, 2019
Diet Time

Swedish study spotlights the high eventual price of early physical unfitness

A study of health outcomes among more than 1 million men who enlisted in the Swedish Armed Forces decades ago has thrown into sharp relief the connection between poor health habits in adolescence and chronic disabilities later on in life.

February 13, 2019

Telerehab as effective as clinical therapy for restoring functionality after stroke

Home-based telerehabilitation is just as effective as traditional rehab for restoring arm function in stroke survivors, according to late-breaking science presented at this year’s American Stroke Association International Stroke Conference in Honolulu.

February 12, 2019

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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