Revascularization

Effectiveness of best available surgical treatment and best available endovascular treatment in adults with CLI.

CHICAGO — In patients with critical limb ischemia, surgical revascularization was superior to endovascular revascularization if there was an adequate saphenous vein conduit, according to the results of the anticipated BEST-CLI trial.

A sirolimus-eluting balloon was associated with high rates of amputation-free survival and wound healing and low rates of target lesion revascularization in patients with critical limb ischemia and long lesions, researchers reported.

In patients with severe critical limb ischemia treated with a transcatheter deep venous arterialization system, about two-thirds achieved amputation-free survival at 6 months, according to new data from the PROMISE II trial.

Fewer than half of veterans, most of whom were not on lipid-lowering therapy before an event, received intensified lipid-lowering therapies after an MI or elective revascularization, researchers reported.

After STEMI treated with primary PCI, men and women were equally likely to experience any MI, any revascularization or die of any cause during 10 years of follow-up, data from a retrospective analysis show.

Early revascularization may confer mortality benefit in patients with moderate to severe myocardial ischemia identified on nuclear stress testing, regardless of left ventricular ejection fraction, researchers reported.

Immunization with the Pfizer/BioNTech or Sinovac COVID-19 vaccines is not associated with an increased risk for major adverse CV events in people with established CVD, according to data published in Cardiovascular Research.

A Mediterranean diet was superior to a low-fat diet in preventing major CV events in secondary prevention of CVD, according to findings from the CORDIOPREV study.

WASHINGTON — In a head-to-head trial, PCI guided by fractional flow reserve was noninferior to PCI guided by IVUS for death, MI and revascularization at 2 years, researchers reported at the American College of Cardiology Scientific Session.