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Correspondence
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Volume 329:1891-1893 December 16, 1993 Number 25
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Coronary Atherectomy versus Angioplasty

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 by Topol, E. J.
To the Editor: Two important randomized studies comparing directional atherectomy with balloon angioplasty were recently published in the Journal (July 22 issue), and both suggested that there was little or no difference in the rate of restenosis1,2. Although I agree with the author of the accompanying editorial that these two studies exemplify solid clinical investigation,3 both have important limitations.

There is a clear relation between the luminal diameter immediately after the procedure and the subsequent rate of restenosis, independent of the device used to produce that diameter4. Balloon angioplasty results in residual stenoses of 25 to 35 percent, . . . [Full Text of this Article]

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