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Tuesday, November 3, 2009

New Concept tested: Plaque Sealing

For years -- there has been great interest in the concept of prophylactic stenting. That is, using a stent to treat or "seal" as apparent unstable looking lesion that is not significant yet. Currently, we only stent significant stenoses. 

The concept of plaque sealing was finally tested and the results just published in Circulation. 

The results: "Stenting moderate nonsignificant lesions in old SVGs (bypass grafts) with PES (a drug eluting stent) was associated with a lower rate of SVG (bypass graft) disease progression and a trend toward a lower incidence of major adverse cardiac events at 1-year follow-up compared with medical treatment alone, despite very low low-density lipoprotein cholesterol values.

This study represent what I hope is the first of many studies looking at this novel concept. 

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