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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
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Prognosis
Therapy

Angioplasty

Consider giving intracoronary gamma radiation therapy following opening of stenosed coronary stents a  

Why?

  • Patients undergoing PTCA for restenosis of a coronary stent who received intracoronary gamma radiation therapy compared with placebo are less likely to die, have a myocardial infarction or require revascularisation. a

Angioplasty: intracoronary stent gamma radiation therapy reduces cardiac events

Patient a Treatment Comparison Outcome CER RRR
(95% CI)
NNT
(95% CI)
angioplasty for stenosed stent  intracoronary gamma radiation therapy placebo death, MI or revascularisation
at 9 months
44% 36%
(9% to 54%)
6
(4 to 26)
 

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   I K   Jang
CAT Writers   N   Shenker , CJ   Wotton , CM   Ball , RS   Phillips