What is the best treatment for narrowed coronary arteries, bypass or angioplasty?

News
Cardiologist Erik Lipsic of the UMCG is leading a study into two treatments for narrowed coronary arteries in patients with heart failure. The aim of the study is to determine whether bypass or angioplasty is the best treatment for them. The Dutch Heart Foundation (Hartstichting) has provided funding to make the study possible.
Body and heart

Angioplasty or bypass surgery

Narrowing of the coronary arteries can disrupt blood flow to the heart. This can lead to reduced pumping function of the heart. The narrowing can be treated by angioplasty or bypass surgery. Both procedures have advantages and disadvantages. Doctors often choose a particular treatment based on considerations that have not been proven.

Follow-up of patients for four years

That is why the STICH 3.0-NL study will investigate whether one of the two treatments is clinically more beneficial in the long term. This concerns situations in which a patient is eligible for both treatments. The patients in the study will undergo one of the two treatments, as described in the current protocols. They will be followed up for four years after the procedure.

Looking at many factors

The researchers will not only look at mortality, the occurrence of a heart attack or stroke. Quality of life is also an important parameter. In addition, they will look at the need for additional surgery and the number of hospital admissions.

About this research

All Dutch heart centres, both academic and large non-academic hospitals with cardiac surgery departments, are being approached to participate. A total of 358 Dutch patients can participate. The study is part of an international consortium. Similar studies are being conducted in Sweden, the United Kingdom and Canada.

Through its Clinical Study Programme, the Dutch Heart Foundation co-finances clinical studies that contribute to the earlier detection and faster and better treatment of cardiovascular disease.