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.

Real-world Watchman results hold up at 2 years

Left atrial appendage (LAA) closure with the Watchman device was associated with low rates of stroke and bleeding events in high-risk atrial fibrillation patients over a two-year follow-up period, according to a real-world analysis published April 3 in Circulation: Electrophysiology and Arrhythmia.

April 5, 2019

Apixaban linked to best outcomes in older patients with AFib, heart failure

Compared to warfarin, all direct oral anticoagulants (DOACs) were associated with fewer cardiovascular events including heart attacks and strokes in a study of Medicare patients with both nonvalvular atrial fibrillation and heart failure. But apixaban appeared to offer the best balance of protecting against these events while minimizing bleeding risk.

April 2, 2019

Should interventional cardiologists be involved in acute stroke care?

Two papers published March 25 in the Journal of the American College of Cardiology make the case for training other interventionalists, including cardiologists, in performing mechanical thrombectomy to increase access to the emergency stroke treatment.

April 2, 2019
Drone

Drones fly blood samples around NC hospital campus

A hospital system in North Carolina launched on March 26 the first Federal Aviation Administration-sanctioned program allowing drones to make routine commercial package deliveries. Blood samples will be flown one-third of a mile from one WakeMed Health and Hospitals facility to another building on its Raleigh campus at least 30 times per week, the Associated Press reported.

March 27, 2019

Ambulance transport policies for stroke patients differ by state

While accident victims in the U.S. are uniformly taken directly to the most advanced trauma center nearby, the protocols for where to shuttle stroke patients vary widely by state, according to a recent article by Stateline.

March 25, 2019
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FDA finds 50% higher risk of 5-year mortality with paclitaxel PAD products

The FDA’s preliminary investigation into the long-term safety of paclitaxel-coated balloons and stents revealed those devices are associated with a 50 percent higher risk of death than control devices used to treat femoropopliteal artery disease.

March 15, 2019
Pollution

Air pollution linked to 8.8M deaths each year—most due to CVD

Air pollution could be contributing to twice as many deaths as previously estimated, according to research published in the European Heart Journal. Cardiovascular disease often deals the final blow, with CVD events accounting for 40 to 80 percent of these deaths.

March 13, 2019

Bleeding monitoring system for endovascular procedures gains FDA approval

The Early Bird Bleed Monitoring System, which can detect internal bleeding during endovascular procedures, has been granted de novo classification by the FDA. The approval was announced March 5 by Saranas, the device’s manufacturer.

March 6, 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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