The New England Journal of Medicine
CO2 Laser Procedure Improves Patient Outcomes in Multi-Center Randomized Trial
FRANKLIN, Mass., Sept. 29 /PRNewswire/ -- PLC Systems Inc. (Amex: PLC), today announced that researchers report in The New England Journal of Medicine that patients with severe angina have significantly improved outcomes following transmyocardial revascularization (TMR) with PLC's carbon dioxide (CO2) heart laser. Study results demonstrated significantly reduced chest pain, improved quality of life and increased blood flow to the heart following the carbon dioxide laser treatment. PLC's CO2 heart laser is the only TMR laser that has demonstrated increased blood flow to the heart. "The study published in The New England Journal of Medicine reaffirms the efforts we have put forth to become the leader in the TMR market," stated PLC Systems' Chairman, President and CEO Ed Pendergast. "As the TMR marketplace continues to build momentum, PLC is well positioned to provide this effective procedure to the growing number of patients who suffer from severe angina." Each year, approximately 80,000 Americans develop severe coronary artery disease (CAD) that cannot be treated by conventional techniques, including bypass surgery or angioplasty. Typically, they experience unrelenting angina pain, despite being on maximum drug therapy, and are severely restricted in their daily activities. In the new study, a subset of patients in this population were randomly assigned to undergo TMR using PLC's The Heart Laser SystemTM or receive only cardiac medication therapy. Investigators compared both groups across a spectrum of outcomes including severity of angina, quality of life and cardiac blood flow. In the one-year, multi-center trial, they found:
-- A significant improvement in angina in the TMR patients: 72 percent as compared to 13 percent of those assigned to only medication therapy. -- Significantly improved quality of life for TMR patients as compared to those receiving medication therapy. -- A 20 percent improvement in blood flow to the heart in TMR patients. Blood flow declined by 27 percent in the medication therapy. -- Only two percent of patients assigned to the TMR group were hospitalized for unstable angina in the first year of follow up, as compared to 69 percent of those receiving medication therapy.
"Because severe CAD patients have run out of options, short of transplant, the results from this study are encouraging," said O. Howard Frazier, M.D., the lead author and Chief of Cardiopulmonary Transplantation at the Texas Heart Institute in Houston. "While not every CAD patient may be a candidate for TMR or benefit from the procedure, the CO2 laser treatment does offer an effective approach for treating patients with intractable heart disease." "This index study also demonstrated significant improvement in overall quality of life experienced by those patients who had the laser procedure," said Robert J. March, M.D., a principal investigator and a surgeon in the Department of Cardiovascular-Thoracic Surgery at Rush-Presbyterian-St. Luke's Medical Center in Chicago. "From decreased chest pain to being able to comfortably climb a flight of stairs, those in the TMR group recorded a 38 percent improvement in their quality of life. Only six percent of the medical treatment group improved." "The one-year randomized comparison of TMR to maximum medication therapy confirms the superiority of the laser procedure," said Keith A. Horvath, M.D., one of the principal investigators and an Assistant Professor of Cardiothoracic Surgery at Northwestern Medical Center in Chicago. Working with leading researchers and premier heart surgery centers around the world, PLC Systems Inc. developed the world's first FDA-approved TMR device, a high-powered laser known as The Heart Laser System. This computer synchronized laser isdesigned to perform TMR in the safest manner possible. The Heart Laser System was approved by the U.S. Food and Drug Administration in August 1998 for treatment of the estimated 80,000 domestic patients each year who suffer from severe coronary artery disease but cannot be treated with conventional coronary revascularization techniques such as bypass surgery or angioplasty. NOTE: Certain of the above statements are forward-looking statements that involve risks and uncertainties. Actual results could differ materially from those indicated by such forward-looking statements as a result of a variety of factors, including operational changes, competitive developments, regulatory approval requirements, the ability to convince health care professionals and third party payers of the medical and economic benefits of The Heart Laser System, no assurance that all payers will reimburse health care providers who perform TMR procedures or that reimbursement, if provided, will be adequate, and risk factors described in the Company's annual report, SEC form 10-K for fiscal year ended December 31, 1998, and the Company's other SEC reports.
SOURCE PLC Systems Inc. -0- 09/29/1999 /CONTACT: Investor Contact: John Jordan of PLC Systems Inc., 508-541-8800, ext. 145; Media Contact: Kate Nixon of Wanger Associates, 617-965-6469/ /Web site: plcmed.com (PLC)
CO: PLC Systems Inc. ST: Massachusetts IN: MTC SU:
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