9/13/2016 Unnecessary stent usage worries doctors across India ­ Times of India

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Unnecessary stent usage worries doctors across
India

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TNN | Jan 30, 2013, 05.29 AM IST

HENNAI: Lured by freebies and kickbacks from stent
manufacturers, an increasing number of doctors are using the
device even on heart patients who don't need them.

So blatant has this practice become that in Hyderabad, eminent
cardiologist Dr D Seshagiri Rao, head, department of cardiology, Nizam's
Insititute of Medicine (Nims), was caught red-handed on Monday while
accepting a bribe of Rs 1.6 lakh from a stent supplier. He was arrested.

Stents, the scaffolding devices inserted into blood vessels to keep them
open, are used if the patient has more than 70% block of an artery. But
Stents, the scaffolding devices inserted into blood vessels to keep them doctors confide that stents are used even when the block is less than
open, are used if the patient has mor... Read More
30%. This not only inflates the bill, but increases the risk of a heart attack,
say cardiologists. In fact, a study by National Heart and Lung Institute in
the US found that 1-2% of people who have stented arteries develop a blood clot at the stent site which can cause a heart
attack or stroke.

"When stenting was introduced, it was hailed as a medical breakthrough, but patients are now being advised to go through the
procedure even when the clot can be treated through aggressive medical intervention or through a bypass," says Dr B Soma
http://timesofindia.indiatimes.com/india/Unnecessary­stent­usage­worries­doctors­across­India/articleshowprint/18249217.cms?null 1/2

cms?null 2/2 ." "Last year I received at least four patients who were advised to go in for angioplasty when the problem could have been remedied through medication. "It is difficult to detect the practice. 5%. At present." he says. vice president-elect of the Indian Medical Association. Dr Sai Satish. and a pioneer in this treatment. Stent suppliers claim that hospitals buy stents in bulk at reduced prices and sell at a high rate to patients." says cardiologist Dr K K Aggarwal. the doctor's license is immediately cancelled. In Chennai." http://timesofindia.com/india/Unnecessary­stent­usage­worries­doctors­across­India/articleshowprint/18249217. Several cardiologists admit that doctors get incentives from the manufacturer for every stent used. "The patient should take an informed decision. say stent manufacturers. chairman of CARE Hospitals. Previously most of our stents were imported but now competition within the country is stiff. which are coated with a drug and the more recent bioabsorbable stents which dissolve in the artery after a year. "It is advisable to go for multiple tests to assess the block before giving consent for the procedure. but once found. Hyderabad.9/13/2016 Unnecessary stent usage worries doctors across India ­ Times of India Raju." says a stent supplier in Chennai. there are close to 20 stent suppliers. International giants like Abbott and Johnson & Johnson are active players in the Indian market. calls the trend "criminal. an interventional cardiologist at Apollo Hospitals." says Suresh Kumar of SNK Cardio Stents Enterprises. "It is a booming industry. drug eluting stents (DES).000 for it. around 3. While DES accounts for 70% of the market. Doctors charge patients Rs 35." he says.00. three kinds of stents are available: bare metal stents (BMS) which hit the market in the late 1980s.000. "We sell a bare metal stent for around Rs 20. BMS accounts for 25% and the more expensive bio absorbable stents. According to unofficial estimates.indiatimes.000 stents are used in India every year. We need a system to check this.