Navigation Links
Bypass Surgery, Stents Seem to Bring Same Level of Relief
Date:3/17/2011

By Randy Dotinga
HealthDay Reporter

WEDNESDAY, March 16 (HealthDay News) -- New research suggests that certain heart patients will fare about the same whether they have heart bypass surgery or a less-invasive procedure that uses drug-coated stents to prop open clogged arteries.

The findings may boost the appeal of stent procedures, which also require much less recovery time. However, patients with the most severe disease did do better with bypass surgery.

Regardless of whether a patient with chest pain undergoes a bypass or stent operation, "the message is that they can feel comfortable" with their decision, said study author Dr. David J. Cohen, director of cardiovascular research at Saint Luke's Mid America Heart Institute in Kansas City, Mo. "The degree of symptom relief is very comparable."

The vast majority of patients with coronary artery disease -- about 90 percent -- "do just fine" when they take medications to combat their clogged arteries, said Dr. Kirk N. Garratt, associate director of the division of cardiac interventions at Lenox Hill Heart and Vascular Institute in New York City. But the rest of heart patients need an operation to stop chest pain, he noted.

Bypass operations used to be the standard treatment, but stent operations have become more common in recent decades. Surgeons prop open clogged vessels with stents through a procedure called an angioplasty, and patients typically recover within days instead of weeks or months.

The problem, Garratt said, is that the body tries to heal the injury after the operation with scar tissue that can be harmful. Over the last decade, however, stents have started to come with drug coatings that discourage scar tissue from forming.

The new study, funded by stent manufacturer Boston Scientific Inc., aimed to determine how patients fared in terms of quality of life after getting bypasses or treatments with stents.

The researchers randomly assigned 1,800 heart patients to undergo either bypass surgery or a stent procedure. These patients had either three-vessel or left main coronary artery disease. The study authors followed up six and 12 months later to see how the patients were doing.

At a year, 76 percent of bypass patients said they were free of chest pain, also known as angina; 72 percent of stent patients said they were, according to the report.

"I'm not sure that this is earthshaking," said Garratt. "It was a fully predictable finding, considering what we already knew."

There are other factors for patients to think about before getting an operation. Stent patients face a higher need for repeat operations than bypass patients, Cohen noted. "If a patient has a strong aversion to coming back, a bypass operation is going to be more durable. It will last longer and keep them out of the hospital longer."

And patients with the most complex cases will fare better -- both in terms of quality of life and lifespan -- after a bypass, Cohen said.

In general, though, "if you're one of the unlucky few that need more than medicine to take care of your heart disease, both surgery and angioplasty promise to give you excellent results," Garratt said.

They won't necessarily help you live longer, however. Neither procedure has been shown to boost lifespan by a meaningful amount, Garratt said, except for heart attack patients. "What they add," he said, "is quality of life."

The findings are published in the March 17 issue of the New England Journal of Medicine.

More information

For more about heart disease, try the U.S. National Library of Medicine.

SOURCES: David J. Cohen, M.D., director, cardiovascular research, Saint Luke's Mid America Heart Institute, Kansas City, Mo.; Kirk N. Garratt, M.D., M.Sc., associate director, division of cardiac interventions, Lenox Hill Heart and Vascular Institute of New York, New York City; March 17, 2011, New England Journal of Medicine


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. New method to grow arteries could lead to biological bypass for heart disease
2. Gastric bypass surgery increases risk of kidney stones
3. Dr. Feiz (drfeiz.com) Asks: What Is Better for You? Lap Band Surgery/Realize Band Surgery or Gastric Bypass Surgery
4. EXCEL trial will determine safety and efficacy of drug-eluting stents vs. bypass surgery
5. Newer Blood Thinner Beats Plavix for Bypass Patients
6. UCLA study compares bypass surgery to angioplasty
7. AMD risk on the rise for Asians; retinal vein bypass may help many CRVO patients
8. Heart bypass for uncomplicated heart surgery does not reduce neurocognitive function in children
9. Study finds more Americans bypassing their personal physician when immediate treatment required
10. Arm Artery No Better Than Leg Vein for Heart Bypass, Study Finds
11. Heart Enzymes May Predict Outcome After Bypass Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Bypass Surgery, Stents Seem to Bring Same Level of Relief
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway ... call for a minimum wage raise to $12 an hour by 2020 and then adjusting ... restore the lost value of the minimum wage, assure the wage floor does not erode ...
(Date:6/24/2016)... New York, NY (PRWEB) , ... June 24, ... ... lifestyle publication Haute Living, is proud to recognize Dr. Barry M. Weintraub as ... believes that “the most beautiful women in the world, and the most handsome ...
(Date:6/24/2016)... , ... June 24, 2016 , ... National recruitment firm ... life sciences executive with extensive sequencing and genomics experience, as Vice President of North ... Ms. Hill will be responsible for leading the sales team in the commercialization of ...
(Date:6/24/2016)... ... June 24, 2016 , ... Advanced Plastic Surgery Institute ... pageant as its official Medspa Sponsor. Dr. Josh Olson, a board-certified plastic surgeon, ... , Dr. Olson says the decision to support the pageant in an official ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 According ... by Type (Standard Pen Needles, Safety Pen Needles), Needle ... GLP-1, Growth Hormone), Mode of Purchase (Retail, Non-Retail) - ... This report studies the market for the forecast period ... reach USD 2.81 Billion by 2021 from USD 1.65 ...
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... 2016  In a startling report released today, National Safety ... lacking a comprehensive, proven plan to eliminate prescription opioid overdoses. ... how states are tackling the worst drug crisis in recorded U.S. ... Kentucky , New Mexico , ... Of the 28 failing states, three – Michigan ...
Breaking Medicine Technology: