Co-investigators Sahil Parikh, Michael Cunningham and Vikram Kashyap, with UH Harrington-McLaughlin
Heart & Vascular Institute at UH Case Medical Center, were the first physicians to successfully implant the
device in a patient.
Let us not be under any illusions, what we have heard from Wyss and Schanzer are very
important data. I think healthcare commissioners who are looking for “value for money”
would be very interested in these data and there is a need to justify the long-term durability
from EVAR. The critics of EVAR will say, “I told you so,” and the endovascular evangelists
will say “These are old data, and old devices and we have gone through this learning curve.”
It is best to stick to the facts. Wyss’ paper shows that actually the explanation for “catch-up”
mortality is because of rupture. There were 27 ruptures in 848 EVAR procedures and that
does explain the late “catch-up” mortality. I think by dividing these patients into anatomical
issues i.e. top neck diameter, iliac diameter and neck length against failure of endovascular
Randomised, controlled trials have shown that periprocedural rates of minor stroke are higher with carotid artery stenting than with endarterectomy. Also, diffusion-
weighted magnetic resonance imaging has shown that more silent new ischaemic brain
lesions develop after stenting as compared to endarterectomy. “However, carotid
endarterectomy is associated with a higher myocardial infarction rate (that impacts
significantly on four-year mortality) than carotid artery stenting. It is also associated
with significantly higher cranial nerve injury than stenting. In the CREST trial, these
injuries were motor and remained unresolved at six months in 2% of patients. There
is clear room for improvement for both carotid artery stenting and endarterectomy,”
Sumaira Macdonald, Newcastle, UK, told Interventional News.
Lucerne (CH), AMTS, March 15-16, 2012
Successful applicants will be sponsored for flight and hotel accommodation for up to 750 Euro!
For registration, please click here or refer to www.cirse.org
Endovascular repair of abdominal aortic aneurysms outside manufacturer’s
instructions for use is associated with an unacceptable risk of proximal type I endoleak,
aneurysm-related and all-cause mortality, Jane Cross, University College Hospital,
London, UK, told delegates at the ESVS Annual Meeting.
CX St George’s Valve Technology Symposium
I would like to invite you to the CX St George’s Valve Technology Symposium. In our 7th Symposium, we are delighted to be an integral part of the 34th Charing Cross International Symposium which attracts over 3,000 delegates from 75 countries over four days.
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