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Angioplasty Proves Reasonable Alternative to Bypass Surgery
Date:3/31/2008

tery stenting, especially with drug-eluting stents, has led researchers to reassess the role of PCI. Drug-eluting stents slowly release drugs that help keep the artery open.

Currently, there is limited long-term data comparing CABG and percutaneous coronary intervention with stents in patients with left main coronary artery disease.

For the new study, Park and his team compared 1,102 patients with unprotected left main coronary artery disease who underwent stent implantation (318 with bare metal stents and 784 with newer drug-eluting stents) with 1,138 patients who underwent CABG as 12 centers in Korea.

Overall, there were no major differences between the two groups in the risk of death or the risk of an outcome that included heart attack and stroke.

The next step, Park said, is a randomized trial comparing the two procedures.

More information

The American Heart Association has more on percutaneous coronary intervention.



SOURCES: March 31, 2008, teleconference with Seung-Jung Park, M.D., Ph.D., director of interventional cardiology, Asan Medical Center, Seoul, Korea; March 31, 2008, New England Journal of Medicine


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