The patient population affected the significance of the problem, when the problem became significant, and the current practice and probable proposed change in practice will also be discussed.
Spirit of Inquiry
The topic of coronary artery bypass graft versus percutaneous coronary stent insertion was an interesting topic to me because I have been doing coronary artery bypass surgery for the past twelve years. During these twelve years, a decline in open coronary bypass has decreased in numbers drastically. Invasive interventional radiology, a new trend in medicine to treat coronary disease without open surgery, has sent the open-heart surgery market down to non-existence. Stent placement has increased, but is it the best treatment?
The populations involved in this treatment are adults having acute myocardial infarctions (MI) needing stent placement or open-heart surgery. The adult population being between the ages of 60-70 with an occasional patient in they’re fifties. One problem using stents, instead of opting for open surgery, is that a person could keep coming back for repeat stent placements due to reoccurring angina, thrombosis, and eventually ends up with open surgery after one year anyway (Cohen et al., 2011, p. 1016). Another problem with stent placement is the incidence of stroke or death and quality of life (Kajimoto, Miyauchi, Yamamoto, Daida, & Amano, 2012, p. 155). This population is targeted because there is a higher incidence of Obesity, Diabetes Mellitus, Hypertension, Hypothyroidism, and Hyperlipidemia that are leading causes of Coronary Artery Disease. ...