According to Janet Powell, Imperial College London, UK, the highest risk factors for rupture of abdominal aortic aneurysms (AAA) are female gender, smoking, increasing age and mean arterial pressure, but there are still few useful indicators of how to manage screen-detected aneurysms to stop them enlarging. Powell put forward this view during yesterday’s Abdominal Aortic Controversies Main Programme which explored epidemiology, indications and medical management of abdominal aortic aneurysms.
The 12-month results of patients treated with the Nellix system are encouraging for the development of endovascular sealing (EVAS) as the next gold standard treatment, according to Matt Thompson (London, UK), with a low overall endoleak rate and an acceptable reintervention rate.
Among hospitalised patients with severe acute pulmonary the use of a retrievable inferior vena cava filter plus anticoagulation compared with anticoagulation alone did not reduce the risk of recurrent pulmonary embolism or death, according to a study in JAMA.
The use of bioresorbable scaffolds is the only complete solution for the superficial femoral artery, argued Andrew Holden, Auckland, New Zealand, in yesterday’s Peripheral Arterial Controversies session.
The CX Innovation Showcase is dedicated to highlighting what it takes for a physician-inventor to succeed and for innovative ideas in the vascular and endovascular arena to thrive. Yesterday’s session brought together leading industry experts, physician-inventors, engineers, medtech investors and start-up companies all focused on improving vascular disease management.
Twelve-month results from the randomised, multicentre DEFINITIVE AR pilot study suggest that there is a benefit to adding directional atherectomy in long and calcified lesions prior to using a drug-coated balloon in comparison to the use of a drug-coated balloon alone. Data from the trial were presented yesterday by Thomas Zeller, Bad Krozingen, Germany, who is a study principal investigator alongside Gunnar Tepe, Rosenheim, Germany.
At this year’s Charing Cross Symposium, Cordis is launching the Outback Elite re-entry catheter, an enhanced version of the Outback re-entry catheter that received the CE mark earlier this week. According to the company, Outback Elite provides more control and precision and includes additional features to enable re-entry into the most complex lesions whilst facilitating positioning and delivery.
Drug-coated balloon technology is unlikely to be a successful “stand alone” treatment for the majority of medium and long length superficial femoral artery lesions, the voting results from CX2015 implied. The voting showed that the audience felt that drug-coated balloon use was best suited to short lesions. The randomised controlled trial data for drug-coated balloons are mostly based on short lesions and 57% of the audience voted “no” to the question, “Is drug-eluting balloon technology likely to be a successful standalone treatment for the majority of medium and long length superficial femoral artery lesions?” The session in which the vote was held was titled “Leaving nothing behind” and also saw the presentation of the ILLUMENATE first-in-human study 24-month results. These were favourable for the Stellarex drug-coated balloon (Spectranetics), and came close on the heels of updates on the Lutonix drug-coated balloon (Bard) and the IN.PACT Admiral drug-coated balloon (Medtronic). Atherectomy as a pretreatment also received a boost.
CX’s new Edited Live Case session, which aims to highlight the technical aspects of the aortic and carotid main programme, was launched yesterday with a selection of cases exploring how to apply different techniques in complex situations to achieve the optimum result for the patient.
Medtronic recently began a clinical study to evaluate the safety and effectiveness of the Endurant Evo abdominal aortic aneurysm (AAA) stent graft system, an investigational medical device designed to expand the applicability of a minimally invasive alternative to open surgical repair for the treatment of abdominal aortic aneurysms.
Spectranetics is accelerating investments in the Stellarex drug-coated balloon angioplasty platform for treatment of below-the-knee peripheral artery disease. The company estimates this will represent a $150m market opportunity by 2020.
Medtronic has announced the start of a new feasibility study to evaluate the safety and effectiveness of the Valiant Mona LSA branch thoracic stent graft system, an investigational medical device designed to enable a completely endovascular solution for aortic aneurysms encroaching on the left subclavian artery.
Intact Vascular has announced that it has raised US$38.9 million in a series B venture capital financing. The funds will be used to accelerate the development and FDA approval of the company’s Tack Endovascular System. The latest round, one of the largest private medical technology financings of 2015, was led by New Enterprise Associates (NEA), with participation from Quaker Partners, HIG BioVentures and other existing investors.
Forge Medical, manufacturer of the VasoStat haemostasis device that is used for radial artery and dialysis access haemostasis, announced that the company has entered into a national commercialisation agreement for the device with National Medical Sales.
The study was presented at the Society of Interventional Radiology’s annual scientific meeting (28 February–5 Atlanta, USA). Aaron Fischman, Department of Interventional Radiology, Icahn School of Medicine at Mount Sinai, New York, USA, spoke to Interventional News.
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