Peripheral Arteries - Indication and diagnostics
Sprache: D/E
Slides: E
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Impact of Peripheral Arterial Disease (PAD) on the European Health Care System
- Presentation time:
- 3 min
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Interdisciplinary Vascular Medecine in Peripheral Artery Disease (PAD)
- Presentation time:
- 12 min
- Discussion time:
- 3 min
Speaker: Markus Steinbauer (Regensburg)
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Big Data and AI in Vascular Medicine: Predicting Therapy Outcomes
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Christian Uhl (Aachen)
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Guidelines vs. Clinical Reality in PAD
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Ulrich Rother (Erlangen)
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Best CLI and Basil 2, Updated
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Thomas Zeller (Bad Krozingen)
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Opportunities and Limitations of Walking Exercise Programs in PAD
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Stefano Lanzi (Lausanne)
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Importance of Risk Factor Control Before Intervention or Operation
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Michael Gawenda (Eschweiler)
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Six Months and Preliminary One Year Results of the Signature RCT: POBA vs.DCB
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Speaker: Michel Bosiers (Bern)
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Trends of Hospital Admissions due to Acute Limb Ischemia and Venous Thromboembolism in Austria: A Population-wide Observational Analysis from 2009 to 2023
- Presentation time:
- 7 min
- Discussion time:
- 3 min
Presenting Author: Maria Elisabeth Leinweber (Wien)
Objective
Thrombosis-related conditions account for approximately 25% of global mortality, underlying major vascular emergencies such as acute limb ischemia (ALI) and venous thromboembolism (VTE). However, real-world data on long-term epidemiological trends remain limited. The present study aimed at investigating trends in the epidemiology of acute limb ischemia (ALI), pulmonary embolism (PE), and deep venous thrombosis (DVT).
Methods
This retrospective population-based study analyzed hospital-admitted ALI and VTE in Austria between 2009 and 2023 using a federal inpatient database. Analyses included annual incidence and incidence rates, in-hospital mortality, comorbidities, major complications, and demographic characteristics for ALI, PE, and DVT cases.
Results
The incidence of ALI significantly declined by 45.3% over the study period, with a 50.0% reduction in incidence rate. In-hospital mortality decreased by 32.2%, though the proportion of ALI-associated deaths remained stable at 6.3%. The proportion of female ALI patients decreased over time, while the age distribution remained unchanged. The incidence of VTE also declined, particularly for DVT, which saw a 73.9% reduction. PE incidence decreased by 17.6%, with in-hospital mortality declining from 8.9% to 4.2%. The duration of hospitalization decreased significantly for both ALI and VTE, with most patients being discharged within nine days.
Conclusion
A substantial decline in the incidence of ALI and VTE has been observed in Austria over the past 15 years, which may be consistent with enhanced cardiovascular risk management, encompassing the widespread adoption of DOAC and statins, a decline in daily smoking, and advancements in perioperative thromboprophylaxis.