Conference Highlights: ISET 2012

Conference Highlights: ISET 2012

New research was presented at ISET 2012, the annual International Symposium on Endovascular Therapy, on January 15-19 in Miami Beach. The features below highlight just some of the studies that emerged from the meeting. » A New Approach to Managing Unstoppable Nosebleeds  » Cryoablation Deemed Effective in Ovarian Cancer » MS Patients Report Benefits With Angioplasty » Fibromuscular Dysplasia Frequently Undiagnosed Treating DVT in Pregnant Women The Particulars: Studies have shown that DVT is four to six times more common in pregnant women than in non-pregnant women. Research suggests that many pregnant women with DVT often forgo the most effective treatments—surgery or catheter-directed thrombolysis—because they fear that doing so may harm their unborn children. Data Breakdown: In a study of 11 pregnant women with DVT, two underwent surgery to remove the clot, and nine were treated with a bath of thrombolytic medications delivered directly into the clot. Removal of the clot was successful in all cases, and all but one pregnancy resulted in successful birth. One woman who miscarried 1 week after treatment suffered from antiphospholipid antibody syndrome, which the researchers believe likely caused the miscarriage. Take Home Pearl: Aggressive treatment with surgery or catheter-directed thrombolysis for pregnant women with DVT appears to be safe. Aggressive treatment was also shown to prevent serious complications and death.     A New Approach to Managing Unstoppable Nosebleeds [back to top] The Particulars: Unstoppable nosebleeds can cause anemia and may lead to other more serious complications, including heart attack. When packing the nose with gauze, inflating a balloon to stop blood flow, or cauterizing the vessels in the nose fail, surgery or embolization are the...

ACC.11 & i2 Summit

Highlights from the American College of Cardiology’s 2011 Annual Scientific Session and Innovation in Intervention: i2 Summit 2011 include stenting following CABG, yoga reducing AF, restless legs syndrome linked to CVD, and RF ablation for atrial fibrillation.   » Restless Legs Syndrome Linked to Heart Problems » Stents & the Prevention of Major Adverse Events  » RF Ablation Beneficial for AF Patients » Lung Transplants & Atrial Flutter » Can Yoga Reduce Atrial Fibrillation Episodes?  Restless Legs Syndrome Linked to Heart Problems [back to top] The Particulars: As the population continues to age, there has been an observed increase in the prevalence of sleep-related disorders and cardiovascular disease (CVD). Some studies have suggested that there might be a correlation between restless legs syndrome (RLS) and CVD. The recognition of frequent periodic leg movement during sleep as a potential modifiable risk factor for left ventricular hypertrophy may offer another target to help reduce the burden of CVD and associated complications. Data Breakdown: A study was conducted in 584 patients who were referred to a sleep lab for polysomnography and had baseline echocardiography. According to electromyography, 45% of patients experienced more than 35 periodic leg movements per hour (the threshold considered severe). Patients with more than 35 bursts of leg movement per hour while sleeping carried a 1.85-fold elevated risk of severe left ventricular hypertrophy. When compared with those who did not have severe periodic leg movements during sleep, those who did had more evidence of structural heart problems, including, higher left ventricular mass on average, higher left ventricular mass index, thicker interventricular septum, and thicker posterior wall. Take Home Pearls: RLS characterized by...