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Cardiology Today's Intervention top 5 articles posted in April
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Cardiology Today’s Intervention compiled a list of the top 5 stories posted to Healio.com/Intervention in April 2017.
This month’s highlights include Cardinal Health’s acquisition of Medtronic’s deep vein thrombosis unit and other businesses, warfarin plus an antiplatelet agent for patients with mechanical heart valves after PCI, a new algorithm for stroke treatment, shifting patterns in peripheral artery intervention, new-onset atrial fibrillation after TAVR and much more.
Medtronic to sell DVT, other businesses to Cardinal Health
Medtronic has agreed to sell its deep vein thrombosis, nutritional insufficiency and patient care businesses to Cardinal Health, according to press releases from both companies.
The business units had resided in the patient monitoring and recovery division of Medtronic’s Minimally Invasive Therapy Group; they will now be in Cardinal Health’s medical segment.
Warfarin plus antiplatelet agent viable option for mechanical valves after PCI
There are few data on the optimal antiplatelet and antithrombotic regimen for patients with mechanical valves after PCI, but warfarin plus a single antiplatelet agent, likely clopidogrel, may be the best option, experts wrote in a Viewpoint published in JAMA Cardiology.
Cian P. McCarthy, MB, BCh, BAO, from the department of medicine at Massachusetts General Hospital, Subodh Verma, MD, PhD, from the division of cardiac surgery at St. Michael’s Hospital and the University of Toronto, and Cardiology Today’s Intervention Chief Medical Editor Deepak L. Bhatt, MD, MPH, from Brigham and Women’s Hospital Heart and Vascular Center and Harvard Medical School, reviewed the literature on the challenging clinical problem.
AHA/ASA develop new algorithm for timely stroke treatment
The American Heart Association and the American Stroke Association announced they developed a new method for EMS to provide immediate emergency care for patients impaired by stroke.
The new process (Severity-Based Stroke Triage Algorithm) provides emergency crews with tools to quickly identify a stroke, triage a patient and determine which hospital will best provide care for the patient’s needs, according to a press release issued by the societies. With this algorithm, first responders use a regionally approved stroke severity tool that can diagnose an ischemic stroke, which often requires IV and endovascular thrombectomy treatments.
Peripheral arterial intervention practice patterns shifting
From 2006 to 2016, the percentage of patients presenting with critical limb ischemia, rates of femoral-popliteal intervention and the use of balloon angioplasty or cutting/scoring balloons increased in those with peripheral artery disease, researchers reported.
To assess trends in peripheral arterial interventions, researchers evaluated data from 43 hospitals participating in the prospective, multicenter, observational quality improvement BMC2 PVI Registry. From 2006 to 2013, 44,650 peripheral arterial interventions were performed.
New-onset AF common after TAVR
WASHINGTON — In patients who have undergone transcatheter aortic valve replacement, new-onset AF is common and is associated with worse outcomes after 1 year.
“Using a large national registry of patients undergoing TAVR, we sought to describe the incidence of new-onset postprocedure AF, identify discharge anticoagulant strategy among patients developing new-onset postprocedure AF and compare outcomes between patients developing new-onset AF vs. those who did not,” Amit N. Vora, MD, MPH, cardiology fellow at the Duke Clinical Research Institute, said during his presentation at the American College of Cardiology Scientific Session.