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This is a Literature Review study.

Cracks in the Evidence: Why Studies from COURAGE to ISCHEMIA Failed to Show Benefit of Stenting PCI

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Review reveals no mortality benefit from stenting compared to optimal medical therapy, suggesting critical limitations in PCI techniques.

PCI with stenting shows no mortality benefit compared to Optimal Medical Therapy in chronic coronary syndrome.
Landmark trials like COURAGE and ISCHEMIA highlight significant procedural risks and complications with stenting.
Methodological flaws include overlooking vulnerable plaques and incomplete revascularization, affecting treatment outcomes.
Adopting a whole-food plant-based diet with drug-coated balloons may enhance patient outcomes and management of chronic coronary syndrome.

Dasaad Mulijono (2025) studied this question.

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