FDA approves first absorbable stent
During a procedure to restore blood
flow to the heart (angioplasty), doctors nearly always insert a wire-mesh tube
called a stent to hold the artery open. In July, the FDA approved the first
stent made of a biodegradable substance that is believed to fully dissolve in
about three years.
Like a traditional drug-eluting
metal stent, the new absorbable stent temporarily releases a drug that helps prevent
scarring inside the newly opened artery. In a trial of 2,008 people that
compared the absorbable stent with a drug-eluting metal one, rates of heart
attacks and other serious heart-related events were roughly the same in both
groups after one year. But the risk of blood clot formation was about twice as
likely inside the absorbable stent (1.5%) compared with the metal stent
(0.74%).
Patients aren't normally offered a
choice of which type of stent they receive, as doctors typically make that
decision. Cost may be a factor, as new products are usually more expensive than
older ones. For now, many experts believe it is best to wait until more
long-term results are available before routinely using an absorbable stent.
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