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UCLA study compares bypass surgery to angioplasty
Date:4/13/2010

e risk of death or heart attack at one-year follow-up did not differ significantly between heart bypass surgery and angioplasty with drug-eluting stents. The risk of stroke was lower with stenting than with bypass surgery, but the risk of an artery re-clogging was significantly higher in patients receiving a stent.

"There are benefits and risks to both procedures and our analysis shows that for select patients, drug-eluting stenting may be a good alternative," Lee said.

According to Lee, each patient is unique, and a number of factors need to be taken into consideration in deciding treatment. For example, due to the position of left main artery heart disease, there may be a higher risk of the artery re-closing with stenting, older patients may not be ideal candidates for surgery, and treatment may depend on how many arteries are impacted by heart disease.

Obrenski opted for angioplasty with drug-eluting stents instead of open-heart surgery. He went home the next day and had minimal recovery time. Since undergoing the procedure in 2006, he is doing well.

The researchers said the next step in research is longer follow-up with patients to further compare the outcomes of angioplasty with drug-eluting stenting to surgery.


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Contact: Rachel Champeau
rchampeau@mednet.ucla.edu
310-794-2270
University of California - Los Angeles
Source:Eurekalert

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