Heartfelt with Dr Melissa Walton-ShirleyView all posts »
MASS-PAC RegistryNov 11, 2008 00:38 EST
Just a short blurb here on the continued issue of stent selection.
Though encouraging that this study looked at 67 different propensity matched variables along with Mortality,myocardial infarction and TVR at 3 years in the subgroup of diabetics, classically the toughest audience of all, and found decreased incidences of all the primary endpoints with DES vs. BMS, this wasn't the real story. The real story is that these patients could even be studied at all, and in most places, their data would just be relegated to the patient's medical record and taken deep into some warehouse for storage.
Since this is a registry and not a randomized trial, these patients come to us through inherent selection bias. Someone already determined which patients could safely get a DES and gave it to them. But of those who passed the necessary screening of obvious bleeding, upcoming surgery, compliance issues, etc. etc. in order to get a DES, this study suggests they will bode well.
Our hats are off to the State of Massachusetts for their required reporting of ALL PCI DATA. We could definitely take a lesson from them, and perhaps we should just all follow their example without having to be made to.