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Heart bypasses beat drug stents in study
Published in Saudi Press Agency on 01 - 09 - 2008


Patients with difficult-to-treat
clogged arteries are better off getting bypass surgery rather
than drug stents, according to results of a major clinical study
on Monday.
Both procedures proved equally safe but those patients
receiving Boston Scientific's drug-coated Taxus stent were more
likely to need a repeat procedure, REUTERS QUOTED researchers as saying.
The keenly awaited results of the so-called SYNTAX study by
Dutch researchers were presented at the annual meeting of the
European Society of Cardiology.
"Despite the advent of drug-eluting stents, surgery comes
out a winner," Douglas Weaver, president of the American College
of Cardiology, said after the results were presented.
The one-year study found that 17.8 percent of patients
receiving stents -- tiny wire-mesh tubes used to prop open
clogged heart arteries -- either died, suffered a heart attack,
had a stroke or needed a repeat procedure.
The figure was 12.1 percent for those undergoing surgery and
receiving coronary artery bypass grafting, known as CABG.
Stenting was introduced in the 1990s and allows doctors to
treat patients by inserting a catheter into the groin, resulting
in very quick recovery times. CABG requires open-heart surgery.
Doctors in Munich said the results would be studied
carefully but might not lead to a dramatic change in practice
since many of the patients in the Dutch study would probably
have received surgery anyway in normal clinical practice.
A more favourable result for stenting, however, could have
encouraged further use of stenting over CABG.
Keith Dawkins, Associate Chief Medical Officer at Boston
Scientific, said he believed the study was reassuring for the
use of stents, despite not achieving its goal.
"The primary endpoint was missed. But it wasn't missed
because of safety concerns; it was missed due to
revascularisation (reopening of arteries)," he said.


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