Bypass better than angioplasty at times

Bypass or Angioplasty

Bypass or Angioplasty

PALO ALTO, Calif. (UPI) — The results of several clinical trials around the world has suggested heart bypass surgery is better for some patients than angioplasty, a U.S. study said.

Stanford University School of Medicine said data from about 8,000 research subjects show coronary angioplasty may be the better choice for patients with multi-vessel coronary artery disease who have diabetes or who’s ages are over 65.

Angioplasty, however, may be the best choice for patients under age 55.

“Whether you have diabetes really makes a big difference,” lead author Dr. Mark Hlatky of Stanford said in a statement. “Over several years there’s a much lower rate of death with bypass surgery. The patient’s age and fitness were other major factors that affected outcomes, and this was an interesting surprise.”

For patients with diabetes, the five-year mortality rate was 12 percent for those who had bypass surgery compared with 20 percent for those who underwent an angioplasty. For patients older than 65, the mortality rate was 11 percent for those who had bypass compared with 15 percent for those who had angioplasty.

The findings are published online in The Lancet.

Sourced and published by Henry Sapiecha 24th March 2009

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