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The year in cardiology 2014: peripheral circulation

Aboyans, Victor ; Brodmann, Marianne ; De Carlo, Marco ; Clement, Denis ; Mazzolai, Lucia ; van Bortel, Lucas ; van Sambeek, Marc R.H. ; Vlachopoulos, Charalambos

In: European Heart Journal, 2015, vol. 36, no. 10, p. 591-597

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    Titre
    • The year in cardiology 2014: peripheral circulation
    Auteur
    • Aboyans, Victor. Department of Cardiology, Dupuytren University Hospital, 2, Martin Luther King Avenue, Limoges 87042, France
    • Brodmann, Marianne. Division of Angiology, Medical University Graz, Graz, Austria
    • De Carlo, Marco. Cardiac Catheterization Laboratory, Cardiothoracic and Vascular Department, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
    • Clement, Denis. Department of the Dean, Gent University Hospital, Gent, Belgium
    • Mazzolai, Lucia. Division of Angiology, CHUV, Lausanne University Hospital, Lausanne, Switzerland
    • van Bortel, Lucas. Unit of Clinical Pharmacology, Heymans Institute of Pharmacology, Gent University, Gent, Belgium
    • van Sambeek, Marc R.H.. Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands
    • Vlachopoulos, Charalambos. Peripheral Vessels and Hypertension Units, 1st Department Cardiology, Athens Medical School, Athens, Greece
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • European Heart Journal, 2015, vol. 36, no. 10, p. 591-597. Oxford University Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:289682
    Summary
    In 2014, the debate on the indication of revascularization in case of asymptomatic carotid disease continued, while another one regarding the use of surgery vs. stenting addressed some new issues regarding the long-term cardiac risk of these patients. Renal arteries interventions trials were disappointing, as neither renal denervation nor renal artery stenting was found associated with better blood pressure management or outcome. In contrast, in lower-extremities artery disease, the endovascular techniques represent in 2014 major alternatives to surgery, even in distal arteries, with new insights regarding the interest of drug-eluting balloons. Regarding the aorta, the ESC published its first guidelines document on the entire vessel, emphasizing on the role of every cardiologist for screening abdominal aorta aneurysm during echocardiography. Among vascular wall biomarkers, the aorta stiffness is of increasing interest with new data and meta-analysis confirming its ability to stratify risk, whereas carotid intima-media thickness showed poor performances in terms of reclassifying patients into risk categories beyond risk scores. Regarding the veins, new data suggest the interest of D-dimers and residual venous thrombosis to help the decision of anti-coagulation prolongation or discontinuation after the initial period of treatment for deep vein thrombosis