© 2002 by Heart
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Ischaemic heart disease
Stent or surgery? 
The stent or surgery (SoS) trial has finally been published. Its findings are well known, and suggest that stenting in multivessel disease does not result in more deaths/myocardial infarction (MI) than coronary artery bypass surgery (CABG). However, by one year, 17% of those treated with stents have needed another procedure compared to only 4% in the CABG arm. There was an increase in deaths in the coronary angioplasty (PTCA) arm, but this was related to an excess of cancer deaths which was almost certainly a play of chance. The trial does not offer information on diabetic patients, however, as there were few in either arm.
SOS Investigators. Coronary artery bypass surgery versus percutaneous coronary intervention with stent implantation in patients with multivessel coronary artery disease (the stent or surgery trial): a randomised controlled trial. Lancet 2002;360:965–70.[Medline]
RITA-3: a call for more coronary intervention
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