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‘An amazing relief’: implant offers hope for those with refractory angina

‘An amazing relief’: implant offers hope for those with refractory angina

Summary

A small implant called a coronary sinus reducer (CSR) has helped people with refractory angina, a severe form of chest pain linked to heart disease. A large study found that 75% of patients had less chest pain within six months after getting the implant, which improves blood flow to parts of the heart with low oxygen.

Key Facts

  • Cristian Jensen, who had severe angina, received the implant in 2021 and now experiences fewer attacks and less fear related to his condition.
  • Angina causes chest, neck, shoulder, jaw, or arm pain due to reduced blood flow to the heart muscle.
  • Refractory angina is chest pain that continues despite treatments like drugs, stents, and bypass surgery.
  • The implant is an hourglass-shaped device placed using keyhole surgery through the neck vein.
  • The implant works by narrowing a heart vein to redirect blood flow to poorly oxygenated heart muscle.
  • The study observed 491 patients between 2014 and 2024 at 19 hospitals in England and Scotland, with 474 receiving the implant.
  • About 75% of patients experienced a significant reduction in chest pain within six months after the implant.
  • The device costs the NHS £11,400, most patients went home within a day, and serious complications were rare.
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