HOME >> MEDICINE >> NEWS
Stent or bypass surgery for coronary artery disease?

An international study in this week's issue of The Lancet highlights how patients given bypass surgery for blocked or narrowed coronary arteries are less likely to require further intervention than patients given stent-assisted balloon angioplasty. The study also reported an apparent survival benefit for patients given bypass surgery over those given angioplasty.

Results of previous trials comparing coronary angioplasty with coronary artery bypass grafting (CABG) suggest that rates of death or heart attack do not differ between treatment strategies. However, coronary angioplasty is associated with an increased likelihood of the need for additional revascularisation (another, unplanned repeat procedure). The use of stents in addition to balloon angioplasty should reduce the need for additional revascularisation; the aim of the Stent or Surgery (SoS) trial, led by Rodney Stables from the Cardiothoracic Centre, Liverpool, UK, was to compare the effect of stent-assisted coronary angioplasty with CABG.

1000 patients with coronary artery disease from 53 centres in Europe and Canada were randomly assigned to treatment with stent-assisted angioplasty or CABG. After an average two-year follow-up, around 20% of patients given stenting required additional revascularisation compared with only 6% of patients given CABG. Overall, there was a reduction in subsequent heart attack among patients given angioplasty (5%) than those given CABG (8%). There were fewer deaths among patients given CABG (2%) than those given angioplasty (5%).

Rodney Stables comments: "The use of coronary stents has reduced the need for repeat revascularisation when compared with previous studies that used balloon angioplasty, though the rate remains significantly higher that in patients managed with CABG. The apparent reduction in mortality with CABG requires further investigation."

In an accompanying Commentary (p 961), William O'Neill and Cindy Grines from William Beaumon
'"/>

Contact: Richard Lane
richard.lane@lancet.com
44-207-424-4949
Lancet
26-Sep-2002


Page: 1 2

Related medicine news :

1. Stents and going with the flow
2. Stents combined with clot-busting drugs effective in limiting impact of deadly form of stroke
3. Preliminary US study findings support excellent results with CYPHER Sirolimus-eluting Stent
4. American Heart Association Comment: Nonsurgical Reconstruction Of Thoracic Aortic Dissection By Stent-Graft Placement
5. Cordis Cardiology Introduces The MINI Crown Stent
6. Stent Procedures May Be Unnecessary In Some Heart Cases
7. Routine Use Of Coronary Stents Found To Yield Better Outcomes, Be More Cost-Effective
8. Stents Work Well, But Are Costly: Will Hospitals Continue To Use Them?
9. Health care report cards may increase racial/ethnic disparities in bypass operations
10. Gender a factor in who gets bypass surgery
11. Gastric bypass works for GERD and obesity in patients with prior surgery, says Pitt study

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/19/2020)... ... February 19, 2020 , ... Drs. Richard ... Implant Center of Connecticut, celebrate 30 years of serving Monroe, CT with a ... fees that they charged in 1989, only thirty dollars. To further serve their ...
(Date:2/19/2020)... ... February 19, 2020 , ... ... healthcare delivery, announced that it will participate in the HIMSS20 Global ... Health will engage healthcare professionals and other stakeholders at HIMSS20 – the largest ...
(Date:2/16/2020)... ... February 16, 2020 , ... Canadian digital healthcare portal Ask ... call who are concerned about the Coronavirus. , "It is our duty and it ... contain this deadly virus" said Prakash Chand, CEO of Ask The Doctor. , Doctors ...
(Date:2/14/2020)... (PRWEB) , ... February 14, 2020 , ... The Dr. ... Each episode has segments on health, wellness and medical information. As an upcoming guest ... Dr. Gary Linkov, will be sharing his in-depth medical knowledge. During the segment, Dr. ...
(Date:2/13/2020)... ... February 13, 2020 , ... The ... Virginia: Arlington, Dulles-Aldie, Fair Oaks, Fairfax, Fredericksburg, Leesburg, and Woodbridge, as well as ... Virginia-based fertility specialists have been named as Top Docs for Infertility by Northern ...
Breaking Medicine News(10 mins):
(Date:2/23/2020)... ... February 22, 2020 , ... The University of Minnesota’s Integrated Food ... a Food System Crisis ’ in Food Safety Magazine's February/March issue. The ... , delves deep into the boundaries that food system leaders need to break in ...
(Date:2/21/2020)... , ... February 21, 2020 , ... Special Learning, Inc. ... The company is passionate about changing the lives of people with autism and ... California focused on helping people find employment opportunities. Special Learning will be providing ...
(Date:2/20/2020)... ... February 20, 2020 , ... Enquire, a leading provider ... post-acute care, is proud to announce G5 as a Silver Sponsor of Enquire Summit ... is proud to return to Enquire Summit as a Silver Sponsor. This event truly ...
Breaking Medicine Technology:
Cached News: