I just posted a review of two articles about the treatment of Coronary Artery Disease in patients with kidney failure. The more I read about results of Stent treatment for CAD, the more I learn about situations where it doesn’t work as well as it should. In particular this is the case in Diabetes, Renal failure and patients with impaired …
Stenting in other arteries
I just learned about a snag. Somebody commented after completion of one of the questionnaires on my website: “my step sister has multiple stents in the femoral arteries in the legs and is currently experiencing great pain in the leg again. The ultrasound shows the stent is intact and working properly.” This website is of course about coronary artery, not …
Point-Counter Point
Two new articles, published in the July edition of Clinical Research in Cardiology, provide a point-counter point perspective by cardiac surgeons and cardiologists. In them, the proponents used the SYNTAX trial to argue their points. Not surprisingly, the authors reached opposite conclusions. Now, how is that possible? In “Patients should be operated!” Reichenspurner and colleagues argue that “…clinical trials, both …
Patients with 3-vessel disease should be operated!
Point-Counter point 1 Best way to revascularize patients with main stem and three-vessel lesions. Patients should be operated! [i] An abundance of clinical trials has proven that coronary artery bypass surgery (CABG) is superior to Stenting (PCI) in almost every type of multivessel or left main Coronary Artery Disease (CAD.These days however, even the most complex coronary lesions are treated with …
CAS vs CEA (the CREST study)
“Primary composite outcomes” (lumping complications together into one composite complication), allows shading of negative results that only become visible with careful study of a publication. In the CREST study described below, the authors combined procedural death, stroke and myocardial infarction together into a composite complication. In doing so they found no outcome difference between Carotid artery stenting (CAS) and Endarterectomy …
CREST: Treatment of Carotid Artery Disease
“Primary composite outcomes” (lumping complications together into one composite complication), allows shading of negative results that only become visible with careful study of a publication. In the CREST study described below, the authors combined procedural death, stroke and myocardial infarction together into a composite complication. In doing so they found no outcome difference between Carotid artery stenting (CAS) and Endarterectomy …