Cases and resources in vascular techniques

This prospective study evaluates the safety and effectiveness of a new catheter-based system, featuring a nitinol stent, integrated embolic protection filter, and post-dilation balloon for carotid diseases, highlighting its potential as a major treatment option for high-risk patients.

This study analysed the primary patency of arteriovenous fistulas (AVFs) in Medicare beneficiaries, finding a low rate compared to previous trial settings. Age was not a major contributor to AVF patency, but women and Black patients had disproportionately lower rates, even after multivariable adjustment.

This recent study examined illness trajectories in patients aged 50 and older who underwent lower limb revascularisation for peripheral artery disease in England. The research identified variations in patient outcomes based on age, admission type, and PAD severity.

Patients with peripheral artery disease (PAD) face significant cardiovascular and limb risks, necessitating tailored antithrombotic strategies. A global multidisciplinary work group reviewed current evidence, highlighting the varied responses to antiplatelets and anticoagulants, the importance of balancing benefits and bleeding risks, and providing clinical scenarios and recommendations for future research.

This publication review evaluates treatment trends for acute limb ischemia (ALI) in Japan, comparing the efficacy and safety of endovascular therapy (EVT) versus open surgical revascularization (OSR) using data from the JROAD-DPC database. The study found that, overall, EVT was less effective than OSR for ALI, except in patients with peripheral artery disease (PAD).

This review examines outcomes of endovascular treatment for acute limb ischemia (ALI) using data from a multicenter national registry. It found that patients with pre-existing comorbidities and poor limb viability were more likely to experience adverse outcomes, including mortality and major amputation.

This article presents a meta-analysis on percutaneous deep vein arterialization (pDVA), an advanced technique for treating end-stage chronic limb-threatening ischemia (CLTI) in patients without revascularization options, assessing its feasibility and clinical outcomes using time-to-event analysis.

Endovascular revascularisation is the first choice for symptomatic PAD, but traditional transfemoral access can be challenging. Transradial access is emerging as a less invasive alternative. This study examines the criteria for selecting transradial access and its outcomes in aorto-iliac revascularisation for PAD patients.

As infrapopliteal peripheral vascular interventions (PVIs) for claudication continue to be performed in the USA, this study assessed whether infrapopliteal PVI is linked to worse long-term outcomes than isolated femoropopliteal PVI.

Peripheral artery disease can lead to limb-threatening ischemia, yet many patients face delays in revascularization, increasing the risk of major amputation. This study addresses the urgency of reducing these delays.