Outside of acute myocardial infarction settings, there is not overwhelming clinical benefit to placing stents in people with coronary artery blockages.

“which is outside of a few settings one of them being someone who is actively having a heart attack even today it's not clear there's an overwhelming benefit to putting these stents in people there's certainly a lot of economic benefit to certain parties but there's not an enormous clinical benefit outside of a you know acute mi and we can bifurcate into which types of mi etc but you know for someone who shows up asymptomatically with a blockage i don't think there's a single shred of benefit unless something has changed in the literature in the last few months that i was unaware of is that still true”