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When the stakes are this high, what are the hallmarks of the best cardiologists?Here, instead of opening up the chest, they replace faulty heart valves by inserting tubes (catheters) loaded with a new valve up to the heart through a tiny incision in the groin.Just under half of all angioplasties are planned procedures to tackle angina (chest pain) .The most common of these is angioplasty, where a tiny balloon is inserted into a narrowed artery and inflated to clear the blockage. Now, 80,000 angioplasties are carried out in Britain each year, while heart bypass surgery has flat-lined at around 25,000 cases annually.‘We haven’t just eclipsed heart bypass surgery,’ says Neil Uren, a cardiologist at Edinburgh Royal Infirmary.‘We’ve largely replaced it.’Of course, some cardiologists would disagree and heart bypass surgery continues to play a very significant role in the battle against heart disease, but today it tends to be reserved for patients with severe or widespread artery blockages that can’t be opened by ballooning techniques.
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