A cautionary tale for transcatheter aortic valve implantation

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  Aortic Regurgitation (AR) is rare complication following surgical aortic valve replacement (AVR). Contrary to AVR,  AR is common following transcatheter aortic valve implantation (TAVI). In the picture, the blue arrow represents normal flow, yellow regurgitation  (leakage). TAVI was developed as an alternative therapy for patients who no longer are candidates for traditional aortic valve replacement or repair, procedures that …

Medical Therapy for Stable Coronary Artery Disease

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Yet another article compares Medical therapy with PCI (Stenting) in patients with stable Coronary Artery Disease. This time the focus was on control of angina symptoms, rather than survival. However, its conclusions were similar in that in this group of stable patients, medical therapy alone has become just as effective as PCI (75% vs. 77% control of symptoms). What surprised …

Stents Downgraded by Wall Street Journal: If Only It Were That Simple

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Attn: Burt Cohen Re: Stents Downgraded by Wall Street Journal: If Only It Were That Simple. Dear Mr Cohen, Like you I responded to the article “A Simple Health-Care Fix Fizzles Out” by Keith Winstein of the WSJ, dd 2/22/2010: However, unlike you, I drew somewhat different conclusions: RE: WSJ Simplifies Study Results by Ignoring Key Issues … you define …