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ACC Highlights: Better Stents, But Are Stents Often Necessary?

The 56th Annual American College of Cardiology conference provided the expected clinical trial updates on a variety of interventional devices. But the most anticipated and surprising news of the meeting came from the COURAGE study, whose results broke against the tide of using interventional procedures and stents as primary therapy for stable coronary artery disease.

In New Orleans last month, the American College of Cardiology’s (ACC) 56th annual conference (which included the 2nd annual Innovation in Intervention: i2 Summit) provided the expected clinical trial updates on a variety of interventional devices, most notably drug-eluting (DES), bioabsorbable and carotid stents. However, the most highly-anticipated—and, as it turned out, most surprising—news of the meeting came from a late-breaking trial whose results broke against the tide of using interventional procedures and stents as primary therapy in patients with stable coronary artery disease (CAD), the COURAGE study.

Even before the meeting started, the COURAGE trial results were eagerly awaited. At a pre-conference press briefing, Steven Nissen, MD, of the Cleveland Clinic and outgoing ACC president, highlighted a...

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