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GLG News by Physicians who Treat Peripheral Vascular Disease

May 1, 2007
TRA assessment
Analysis of: Schering-Plough Announces Initiation Of Two Phase III Clinical Trials For Novel Selective Antiplatelet Therapy (TRA-SCH 530348) (www.medicalnewstoday.com)
Three key points1) Large unmet need2) Need to assess efficacy against current available treatment3) Safety issues need to be clarified.
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: Paclitaxel-Eluting versus Uncoated Stents in Primary Percutaneous Coronary Intervention (content.nejm.org)
Recent studies have demonstrated higher rates of subacute and late stent thrombosis for DES after discontinuation of Plavix compared to bare metal stents and this calls into question the safety of this trend.Drug eluting stents account for 90% of stents placed in many institutions in the US and Europe....
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: Breakthrough Clinical Results Reveal Extended Retrieval Times for Cook Medical's Gunther Tulip(TM) Vena Cava Filter (salesandmarketingnetwork.com)
 Pulmonary emboli are a major cause of morbidity and mortality in the US - particularly in post-surgical and trauma patients.The mainstay of treatment and prevention include anticoagulation, sequential compression devices and vena caval filters.Filters have been the last resort for patients who...
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: Antioxidant vitamins increase mortality (www.theheart.org)
 Anti-oxidant vitamins (primarily Vit A and E but to a lesser extent Vit C) have long been touted as cardioprotective agents. There is some logic to this and a large industry of "cardiac health" nutritional agents has sprung up and been heavily promoted by alternative medicine proponents, nutritionists,...
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: Novartis' New Blood Pressure Weapon (biz.yahoo.com)
  Tekturna is an oral, once daily medication which is the first renin inhibitor on the US market.It inhibits renin directly and blocks the renin-angiotensin system at its initiation. This prevents buildup of angiotensin I and II and does not interfere with the kinin system.In clinical trials, Tekturna...
Analysis of: Consumer Outreach Boosts Generic Cholesterol-Fighting Drugs (www.pharmalive.com)
This article summarizes the DTC strategies used to encourage generic utilization for prescription therapies, changing the dynamic from the perception that these therapies are inferior but acceptable alternatives to branded therapies to the impression that these are superior from a consumer value st...
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: EndoGastric Solutions Receives FDA Clearance For First Transoral Surgical Product: StomaphyX(TM) Gets Clearance First (www.medicalnewstoday.com)
   There has been recent interest in natural orifice surgery as a new type of minimally invasive surgery. This has also been termed incisionless surgery because there are no noticible skin incisions.This involves inserting surgical instruments via the mouth or anus to perform procedures in...
Forrest Rubenstein, MD, Cardiac, Thoracic and Vascular Surgeon
Rubenstein Cardiovascular and Thoracic Surgery
Analysis of: Combination Therapy May Help High-Risk Patients Reach Cholesterol Goal (www.medscape.com)
Crestor (rosuvastatin) is an HMG CoA reductase inhibitor that blocks endogenous production of cholesterol.Zetia (ezetimibe) blocks dietary cholesterol absorption from the GI tract. The combination of these 2 agents has a significantly better result in reaching the recommended and optional ATP III goals...
Analysis of: Abbott Announces FDA Approval of a New Coated Niaspan Tablet (pharmalive.com)
Much attention has been brought to HDL, its metabolism and potential for risk modification with HDL raising therapies.  With the demise of the CETP inhibitor torcetrapib (ILLUMINATE and ILLUSTRATE NEJM 2007; 356:1304-1316) and the ACAT inhibitor pactimibe in the ACTIVATE study (NEJM 354:1253-1263)...
Analysis of: UNLOAD Raises Questions About How Ultrafiltration, Diuretics Work in Acute Heart Failure (www.medscape.com)
UNLOAD has provided additional information about the potential utility for ultrafiltration in the management of acutely decompensated patients with CHF admitted to the hospital for volume unloading routinely performed with IV diuretics.Although safety and efficacy may be superior to diuretic based regimens...

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