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MEDICAL: CONDITIONS: CEREBRAL ACCIDENTS (STROKES) :
MEDICAL: TREATMENT:
Study Finds Stents Effective in Preventing Strokes
Study Finds Stents Effective in Preventing Strokes
By RONI CARYN RABIN
Published: February 26, 2010
New York Times
<http://www.nytimes.com/2010/02/27/health/27stroke.html>
Surgery on blocked neck arteries has long been considered the best
procedure for preventing a stroke. Now a large North American study has
found that a less invasive approach may be just as safe and effective, but
other researchers are not so sure.
The findings, released Friday at a medical meeting in San Antonio, have
the potential to make the less invasive procedure inserting a small tube
called a stent in the carotid artery a more appealing option for many
patients.
Yet just a day earlier, European investigators reported dismal results
from another international trial involving carotid stents, published
online Thursday by the British medical journal The Lancet.
In that study, patients treated with stents suffered almost double the
rate of complications as those treated surgically, leading the British
researchers to conclude that surgical treatment of carotid blockages,
called endarterectomy, remains the treatment of choice.
The disparate findings which could help determine whether Medicare
expands coverage to cover the stent procedure left scientists trying to
explain why two fairly similar clinical trials came to such starkly
different conclusions.
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The complete article may be read at the URL above.
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David Dillard
Temple University
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