CABG Versus Stents

iStock_000021636699_LargeIf you have blocked blood vessels in your heart, should you have them opened with stent placement or undergo coronary artery bypass grafting, abbreviated CABG, a much more lengthy and complicated process but which previous study has shown has more durable results than stent placement?  On PodMed this week, Rick and I examine that question again based on results of two studies in the New England Journal of Medicine with so-called 'second generation' drug-eluting stents that purportedly resist blockage formation and the need for additional procedures. Results indicate that there are risks and benefits to both treatments, with Rick of the opinion that these studies will assist caregivers and patients to make informed choices based on their personal preference, while I opine that the quest for the perfect stent continues.  No doubt there will be plenty more on this subject.

Other topics this week include cardiac screening in low risk patients in Annals of Internal Medicine, breast biopsy results in JAMA, and imaging for low back pain in older folks in the same journal.  Until next week, y'all live well.

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