[Do drug-eluting stents influence the spectrum of coronary artery bypass surgery?]

Herz. 2004 Mar;29(2):201-7. doi: 10.1007/s00059-004-2561-9.
[Article in German]

Abstract

Background: The number of surgical coronary revascularization procedures is static and even declining. Since the introduction of drug eluting stents the question arose whether this will have an impact on the spectrum of surgical coronary revascularization procedures.

Bypass surgery: Bypass surgery is a routine procedure for the treatment of coronary artery disease with good results. Studies have shown that there is a benefit in favor of surgery compared to interventional cardiologic procedures. DRUG-ELUTING STENTS: In recent studies a new generation of stents, drug-eluting stents, have proven to have a significant better patency rate than common stents. However, to date there are no studies which show a benefit compared to surgery given the same indication for treatment.

Conclusion: Therefore, the question whether drug-eluting stents have an impact on the spectrum of bypass surgery cannot be fully answered at present.

Publication types

  • Comparative Study
  • English Abstract
  • Review

MeSH terms

  • Administration, Topical
  • Angioplasty, Balloon, Coronary / instrumentation*
  • Antibiotics, Antineoplastic / administration & dosage*
  • Antineoplastic Agents, Phytogenic / administration & dosage*
  • Coated Materials, Biocompatible*
  • Coronary Artery Bypass*
  • Coronary Restenosis / diagnosis
  • Coronary Restenosis / prevention & control*
  • Coronary Stenosis / diagnosis
  • Coronary Stenosis / therapy*
  • Coronary Vessels / drug effects
  • Equipment Failure Analysis
  • Humans
  • Microscopy, Electron, Scanning
  • Paclitaxel / administration & dosage*
  • Sirolimus / administration & dosage*
  • Stents*
  • Treatment Outcome

Substances

  • Antibiotics, Antineoplastic
  • Antineoplastic Agents, Phytogenic
  • Coated Materials, Biocompatible
  • Paclitaxel
  • Sirolimus