Tuesday, October 23, 2007

Drug eluting stents - ask not for whom the bell tolls

The WSJ Health Blog reports from the Transcatheter Cardiovascular Therapeutics conference in Washington:

Cardiologists jammed the room for the privilege of a scolding from Renu Virmani, a pathologist who analyzes what went wrong in stents extracted from dead patients and who is known as a skeptic of new gadgets and techniques.

“I wouldn’t want to be one of your patients,” Virmani told the assembled cardiologists at the outset. She showed slide after grisly slide of arteries from dead heart-attack patients, demonstrating how the artery never healed in spot where a coated stent was implanted.

“Treating AMI [heart-attack] patients with [drug-coated stents] is asking for trouble,” she said. “There is no healing of that surface. It doesn’t make sense.”

More at the WSJ Health Blog

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