Contrary to our original hypothesis, lower baseline VWF levels and VWF/ADAMTS13 ratios were associated with subsequent MALE in this high-risk PAD cohort, which may reflect increased VWF consumption in severe, diffuse atherosclerosis. This study contributes to the limited literature on VWF and ADAMTS13 in PAD in relation to MALE, as previous research has largely focused on major adverse cardiovascular events. Larger studies in patients with similar risk profiles are required to validate these findings.
Agid et al. (Mon,) studied this question.