Bypass surgery tops angioplasty for sickest heart patients

DURHAM, N.C. -- Patients with severe coronary artery disease live longer if they receive coronary artery bypass surgery as their initial treatment instead of artery-opening angioplasty or heart medications, according to a Duke University Medical Center analysis.

Yet up to 40 percent of patients diagnosed with severe coronary disease are treated first with angioplasty or medications and not given the opportunity to receive bypass surgery, the researchers estimate. Bypass surgery is more expensive and more invasive, but has the benefit of increasing patient life span significantly more than the other options, the scientists said.

Bypass surgery involves opening the chest and surgically bypassing blockages in coronary arteries with healthy arteries taken from other parts of the body, most often the legs. Angioplasty involves snaking an expandable balloon through a tube inserted through a blocked coronary artery and then expanding the balloon to push the blockage against the walls of the artery, thereby opening it.

"It may sound very appealing to patients with severe coronary artery disease to get a treatment that is less expensive or less invasive, but they may not be getting the same survival benefit as those patients receiving bypass surgery," said Peter Smith, M.D., chief of cardiothoracic surgery and lead investigator for the study.

"The 40-year history of bypass surgery has shown it to be a durable and reliable treatment for coronary artery disease," Smith said. "It may seem counterintuitive to start a patient on the most invasive treatment option, but our analysis showed that surgery provided significant improvement in longevity for patients with severe disease."

The findings appear in the October 2006 issue of the journal Annals of Thoracic Surgery. The study was supported by the Duke Clinical Research Institute and Duke's Division of Cardiothoracic Surgery.

The researchers retrospectively analyzed the out

Contact: Richard Merritt
Duke University Medical Center

Page: 1 2 3

Related medicine news :

1. Bypassing eggs, flu vaccine grown in insect cells shows promise
2. HealthGrades study: Bariatric surgery patients have fewer complications at high-volume hospitals
3. Nonsmall cell lung cancer -- chemotherapy before surgery appears better than surgery alone
4. After epilepsy surgery, quality of life related more to seizures than memory
5. Pancreatic surgery riskier for obese patients
6. Second SPORT study shows surgery advantage for spinal stenosis and slipped vertebra
7. Study questions risks of anti-bleeding drug during heart surgery
8. Same-day coronary angiography and surgery safe for many patients
9. Sling surgery is more effective than Burch for bladder control in women
10. Experts debate role of stenting, bypass surgery in left main coronary artery disease
11. Chemotherapy more effective when given before breast cancer surgery

Post Your Comments:

(Date:11/27/2015)... ... November 27, 2015 , ... The print component of “Supporting ... Atlanta, Dallas, New York, Minneapolis, South Florida, with a circulation of approximately 250,000 ... through a vast social media strategy and across a network of top news ...
(Date:11/27/2015)... ... ... MPWH, the No.1 Herpes-only dating community in the world, revealed that over 50% of its ... 3.7 billion people under the age of 50 – or 67% of the population - ... estimates of HSV-1 infection . , "The data shocks us highly!" said Michelle Li, ...
(Date:11/27/2015)... Wilmington, DE (PRWEB) , ... November 27, 2015 ... ... a member of the well-respected Microsoft Dynamics SL User Group (MSDSLUG). Recognized as ... is an independent group of Microsoft Dynamics SL software users, partners, industry experts ...
(Date:11/27/2015)... MINNEAPOLIS, Minn. (PRWEB) , ... November 27, 2015 ... ... you start failing. Secura Consultants has prided itself for not only fulfilling the ... best income protection solutions at an affordable price and providing top-tier customer service. ...
(Date:11/27/2015)... Los Angeles, CA (PRWEB) , ... November 27, 2015 , ... ... the Commission on Accreditation of Allied Health Education Programs (CAAHEP) awarded accreditation to its ... exclusive list of CAAHEP accredited colleges, as only one of twelve colleges and universities ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... Research and Markets ( http://www.researchandmarkets.com/research/lttqph/asia_pacific ) has announced ... Outlook to 2019 - Rise in Cardiac Disorders and Growing ... to their offering. Boston ... scientific and others. --> The market ... Boston scientific and others. ...
(Date:11/26/2015)... Nov. 26, 2015 Research and Markets ... the "2016 Future Horizons and Growth Strategies ... Supplier Shares, Country Segment Forecasts, Competitive Intelligence, Emerging ... --> --> This ... the Japanese therapeutic drug monitoring market, including emerging ...
(Date:11/26/2015)... 2015 http://www.researchandmarkets.com/research/4gmqdf/2016_future ... the  "2016 Future Horizons and Growth ... Testing Market: Supplier Shares, Competitive Intelligence, ... --> http://www.researchandmarkets.com/research/4gmqdf/2016_future ) has ... Future Horizons and Growth Strategies in ...
Breaking Medicine Technology:
Cached News: