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New Drug Makes Surgery Safer For Patients With Stents
Heart stents open blocked arteries1 and restore blood flow. They can also help support weak arteries and keep them open. Stents are implanted during a common procedure called angioplasty.
During this procedure, the doctor threads a thin, flexible tube with a balloon or a similar device on the end through a blood vessel2 to the narrow or blocked artery3.
After stenting, patients are put on a blood-thinning medicine to prevent clots4 in the stent. The problem comes when patients taking these drugs have to have heart surgery. Cardiologist Eric Topol sums up the dilemma5.
“The stakes are really high once a stent’s been placed in an artery of the heart and if a stent clots it either results in a heart attack or the patient dying,” Topol said.
Dr. Topol is the director of the Scripps Translational Science Institute. He co-authored a study involving 200 patients who had heart stents and who needed open heart surgery. Half the group was given a placebo6. The other half received a medication called cangrelor which patients receive intravenously.
"We were testing to see whether or not we could inhibit7 their platelets, which are the cells that form a blood clot," Topol said.
Cangrelor’s anti-clotting8 property loses effect within a few hours, so it can be discontinued just prior to surgery.
“The results were pretty striking on the side of being able to inhibit clotting. We were able to do that in all the patients, virtually, with this medicine cangrelor as compared to the placebo,” Topol said.
Not only were the patients able to have surgery sooner, Dr. Topol says, but they didn't have any trouble with bleeding.
"So now we have an intravenous medication that was tested which can be used in those days between stopping the oral medications and actually undergoing the major operation,” Topol said.
A report on the successful trial of the new anti-clotting drug, cangrelor, appears in the Journal of the American Medical Association.
1 arteries | |
n.动脉( artery的名词复数 );干线,要道 | |
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2 vessel | |
n.船舶;容器,器皿;管,导管,血管 | |
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3 artery | |
n.干线,要道;动脉 | |
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4 clots | |
n.凝块( clot的名词复数 );血块;蠢人;傻瓜v.凝固( clot的第三人称单数 ) | |
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5 dilemma | |
n.困境,进退两难的局面 | |
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6 placebo | |
n.安慰剂;宽慰话 | |
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7 inhibit | |
vt.阻止,妨碍,抑制 | |
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8 clotting | |
v.凝固( clot的现在分词 );烧结 | |
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