Article Text

Download PDFPDF
Stents had similar clinical outcomes but more repeated revascularisation than did bypass surgery in multivessel disease

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

 QUESTION: In patients with multivessel coronary artery disease, how effective and cost effective is coronary stenting compared with bypass surgery for reducing clinical outcomes at 1 year?


Randomised (allocation concealed*), unblinded,* controlled trial with 12 months of follow up (Arterial Revascularization Therapies Study [ARTS]).


67 centres in 19 countries.


1205 patients (mean age 61 y, 77% men) with angina pectoris or silent ischaemia plus ≥ 2 lesions in different vessels or territories that were amenable to stenting. Exclusion criteria included previous bypass surgery, ejection fraction ≤ 30%, congestive heart failure, history of stroke, and recent transmural myocardial infarction (MI). 99% of patients in the stent group and 96% in the bypass surgery group received their allocated treatment.


600 patients were allocated to stenting …

View Full Text


  • Source of funding: Cordis.

  • For correspondence:Dr P W Serruys, Department of Interventional Cardiology Heart Center, Erasmus University Rotterdam and Dr Molewaterplein, 40, 3015 GD Rotterdam, The Netherlands. Fax +31 10 4369154.

  • * See glossary.