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Interventional Cardiology
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Archives for March 2010
Engage with experts and peers on all aspects of cardiac catheterization.
Richard A. Lange, MD, MBA
A recent study suggested that clopidogrel can be discontinued 12 months after drug-eluting stent placement. What do I tell my patient who had a drug eluting stent placed a year ago? He’s not the only one who’s confused. I’m concerned that the study was underpowered and the duration of follow-up too short to provide a firm conclusion about the appropriate…
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4 Recommendations
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6 Comments
Richard A. Lange, MD, MBA
According to a recent study, of almost 400,000 patients referred for elective coronary angiography, only 38% had obstructive CAD. Those with a positive noninvasive test before angiography were only moderately more likely to have obstructive CAD than those who did not undergo any testing (41% vs 35%, respectively). However, in a comment in Journal Watch,…
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0 Recommendations
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1 Comment
Richard A. Lange, MD, MBA
The results from 2 carotid endarterectomy vs stenting trials are in….and they are disparate. ICSS showed worse outcome with carotid stenting (higher rates of the composite of stroke, death, and procedural MI) versus carotid endarterectomy, whereas CREST showed similar efficacy and safety for both. Interestingly, in both studies the rate of nondisabling stroke was significantly…
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2 Recommendations
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17 Comments