Friday, 23 March 2007

BMJ - more on coronary stents and CABG's

March 24. The BMJ has an editorial and three articles about coronary revascularisation. The editorial comments about the articles and makes these points.

1. Minimally invasive (off-pump) CABG is better than stenting because of less angina, less re-intervention and no worse mortality.
2. Real life outcomes (clinical databases) show improved survival benefit for CABG over stenting.
3. CABG and medical therapy are cost effective, but stenting is not.

These results will not please the stent industry or cardiologists

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