An end to stents? Major study suggests common heart disease surgery done millions a year may have NO benefits

Dec 2014
18,592
6,940
The Milky Way
Large study.


Stent surgery will not cut the risk of having a heart attack or premature death, a major study has found. The procedure - inserting an artificial valve to unblock severely clogged arteries - does appear to reduce chest pain better than just using blood-thinning medicines.
But according to a federally-funded study by New York University, that's the extent of the benefits.
The results have sent shock-waves through the medical community by calling into question one of the most common practices in heart care, used to treat 1.8 million Americans a year, including Democratic nominee Bernie Sanders, and 750,000 Brits, including Mick Jagger.
It is the strongest evidence yet that tens of thousands of costly stent procedures and bypass operations each year are unnecessary or premature for people with stable disease.
...
For non-emergency cases, the study shows 'there's no need to rush' into invasive tests and procedures, said New York University's Dr. Judith Hochman. There might even be harm: To doctors' surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone.



 
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Sep 2007
23,912
17,040
N48 51.489 E2 17.67119
This study doesn't pass the smell test. It's very convenient for the insurance companies.
 

HCProf

Council Hall
Sep 2014
30,043
19,632
USA
I think it depends on where the stent is put in. A stent might not be effective over long term if placed in coronary arteries. If a significant blockage is shown in the carotid artery (neck) which supplies the head and neck of oxygenated blood, to reduce vascular dementia onset, a stent is a good idea.
 
Jan 2012
1,368
486
SoCal
I'd bet it is because putting a bandaid on the problem while not treating any of the deeper issues just leads to the same outcome.
 
Sep 2007
23,912
17,040
N48 51.489 E2 17.67119
I think it depends on where the stent is put in. A stent might not be effective over long term if placed in coronary arteries. If a significant blockage is shown in the carotid artery (neck) which supplies the head and neck of oxygenated blood, to reduce vascular dementia onset, a stent is a good idea.
Putting one in a 95% blocked LAD is also a good idea.
 

CtC

Mar 2019
14,644
5,302
California
Large study.


Stent surgery will not cut the risk of having a heart attack or premature death, a major study has found. The procedure - inserting an artificial valve to unblock severely clogged arteries - does appear to reduce chest pain better than just using blood-thinning medicines.
But according to a federally-funded study by New York University, that's the extent of the benefits.
The results have sent shock-waves through the medical community by calling into question one of the most common practices in heart care, used to treat 1.8 million Americans a year, including Democratic nominee Bernie Sanders, and 750,000 Brits, including Mick Jagger.
It is the strongest evidence yet that tens of thousands of costly stent procedures and bypass operations each year are unnecessary or premature for people with stable disease.
...
For non-emergency cases, the study shows 'there's no need to rush' into invasive tests and procedures, said New York University's Dr. Judith Hochman. There might even be harm: To doctors' surprise, study participants who had a procedure were more likely to suffer a heart problem or die over the next year than those treated with medicines alone.



Trouble is ,most of these Medications have SIDE EFFECTS. And there lies the dilemma.
 
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