Authors' objectives:

To examine the costs and benefits of routine stenting compared to percutaneous transluminal coronary angioplasty (PTCA) alone, medical treatment and coronary artery bypass grafting (CABG) for native coronary artery disease.

Authors' recommendations: The evidence from the meta analysis suggests that there are some small advantages in stent insertion compared to PTCA for patients groups with new lesions in native coronary arteries, in chronic coronary occlusion and following myocardial infarction. There is a decrease in the proportion of patients undergoing a repeat PTCA or target vessel revascularisation (PTCA or CABG) and a slightly better chance of no adverse event in the year following the initial stent insertion. The meta analysis shows that the stent group had a slightly better chance of being angina free at the end of the trials compared to the PTCA group. Benefits may be much greater for patients with chronic coronary occlusion. It is unknown whether this effect would be maintained for longer than one year following stent insertion.

Authors' methods: Systematic review

Project Status: Completed

URL for project: http://www.birmingham.ac.uk/Documents/college-mds/haps/projects/WMHTAC/REPreports/1998/stentsreport.pdf

Year Published: 1998

URL for published report: http://www.birmingham.ac.uk/research/activity/mds/projects/HaPS/PHEB/WMHTAC/REP/reports-list.aspx

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England

Organisation Name: West Midlands Health Technology Assessment Collaboration

Contact Address: Elaena Donald-Lopez, West Midlands Health Technology Assessment Collaboration, Department of Public Health and Epidemiology, University of Birmingham, Edgbaston, Birmingham B15 2TT Tel: +44 121 414 7450; Fax: +44 121 414 7878

Contact Name: louise.a.taylor@bham.ac.uk

Contact Email: louise.a.taylor@bham.ac.uk

Copyright: University of Birmingham