Aortic & peripheral vascular disease

Validation of the Academic Research Consortium High Bleeding Risk (Academic Research Consortium for High Bleeding Risk (ARC-HBR)) criteria in patients undergoing peripheral endovascular interventions

EuroInterventionPublished Retrospective cohort study

Authors' conclusion

80.3% of PAD patients undergoing EVT for femoropopliteal artery lesions with contemporary drug-coated devices met the ARC-HBR criteria.

Study context

Population
Peripheral artery disease (PAD) patients undergoing endovascular therapy (EVT) with drug-coated devices for femoropopliteal artery lesions, May 2012–December 2019
Participants
542 patients
Exposure
HBR vs non-HBR by ARC-HBR criteria
  • HBRn = 435
Outcome
Major bleeding events (BARC type 3 or 5)
Follow-up
5 years
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Cumulative major bleeding

P < 0.001

Observational data: associations, not effects.

Further findings

Major bleeding by number of ARC-HBR criteria · 5 years

OutcomeAdjusted HR (95% CI)P value
Mortality after major bleedingMajor bleedingvs No major bleeding5.42 (2.91–10.1)P < 0.001
  • Major bleeding by number of ARC-HBR criteria: p<0.001

Predictors of major bleeding

Severe CKD, HF and severe anaemia predicted major bleeding

Original publication

Validation of the Academic Research Consortium High Bleeding Risk (ARC-HBR) criteria in patients undergoing peripheral endovascular interventions. EuroIntervention. Published 3 April 2023. doi:10.4244/eij-d-22-00475

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