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:6/25/2016)... ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on June 21 due ... up a new, often overlooked aspect of head lice: the parasite’s ability to live away ... a common occurrence, but a necessary one in the event that lice have simply gotten ...
(Date:6/25/2016)... ... June 25, 2016 , ... ... non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as a method ... —Johnson is one of the first doctors to perform the treatment. Orthobiologics are ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... June 24, 2016 , ... Global law firm Greenberg Traurig, P.A. ... The attorneys chosen by their peers for this recognition are considered among the top ... Shareholders received special honors as members of this year’s Legal Elite Hall of Fame: ...
(Date:6/24/2016)... ... ... People across the U.S. are sharpening their pencils and honing their writing ... which patients and their families pay tribute to a genetic counselor by nominating him ... Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , In April, Genome ...
Breaking Medicine News(10 mins):
(Date:6/26/2016)... 27, 2016 Jazz Pharmaceuticals plc (Nasdaq: ... the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended ... Pharmaceuticals, Inc. ("Celator"; Nasdaq: CPXX ) expired ... Time). As previously announced on May 31, ... merger agreement under which Jazz Pharmaceuticals has commenced a ...
(Date:6/24/2016)... 24, 2016  Global Blood Therapeutics, Inc. (GBT) (NASDAQ: ... novel therapeutics for the treatment of grievous blood-based ... closing of its previously announced underwritten public offering ... public offering price of $18.75 per share. All ... by GBT. GBT estimates net proceeds from the ...
(Date:6/24/2016)... BEIJING , June 24, 2016 Dehaier ... or the "Company"), which develops, markets and sells medical ... China , signed a strategic cooperation agreement with ... as "Hongyuan Supply Chain") on June 20, 2016, to ... Under the strategic cooperation agreement, Dehaier will leverage Hongyuan ...
Breaking Medicine Technology:
Cached News: