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Stents, the minute wire devices (I always envision the spring from a pen) placed in heart arteries through catheterization to open clogged arteries, have become an extremely popular and lucrative alternative to bypass surgery. Last year, nearly one million patients received the devices, bringing nearly $3 billion in revenue to producers such as Johnson & Johnson (NYSE:
JNJ).
According to an article in
The New York Times, further trials are revealing
some disturbing information about stent usage. The most commonly used type of stent may slightly elevate the patient's risk for blood clots. This concern has some physicians and patients rethinking the decision to favor stents over bypass surgery.
Johnson & Johnson introduced the first bare-wire stent in 1996, which was very successful in opening up the affected arteries. However, some patients' systems reacted to the foreign substance as a wound and tried to heal over it, producing a blockage. The company began to market stents coated with a drug that would counteract the body's reaction. It is these stents that are suspected of causing what is called late-stent thrombosis.
Many physicians using the technology
point to the low incidence of clotting, though -- only 3 patients in 1000.
Balanced against the invasiveness of bypass surgery, the decision is not an easy one. I'd guess,
barring the loss of too many major lawsuits (and this topic is hot currently among litigation attorneys), Johnson & Johnson's stent business will remain strong as we of the boomer generation come face-to-face with the price of a lifetime of fast food and labor-saving devices.