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Boston Scientific Corporation Message Board

  • growth_seeker growth_seeker Aug 6, 1998 10:24 PM Flag

    Nir impact

    I am still in search of a well reasoned argument
    as to what the stock price will do in response to
    the Nir approval. My common sense tells me that if it
    is no surprise then it should already be priced in.
    Honestly, will the approval catch anyone off guard? The
    downward action over the past couple of days could be
    evidence to support this. Why will people not sell on
    news?

    I do not currently hold any position in
    BSX although I have been toying with a Aug 80 call.

    SortNewest  |  Oldest  |  Most Replied Expand all replies
    • Yes, I took my 4 month old daughter on the ride after the BIG announcement - she giggled for awhile and then feel fast asleep.

    • No hype here!, Let's see what happens.

    • Undo your seat belt and put your hands in the air - this will be a kiddy ride. The release of the NIR has already been factored in, the recent slide is an adjustment because its LATE.

    • By now while it's low!

    • they had to do it on box lunch day. tricked again!!!!!!!!!!
      lets' goooooooooooooooooo!!!!!!!!!!!!!!!!!!!!!!!!

    • The NIR stent has been approved by the FDA!

    • i think they will make the announcment at thurs.employee's party,
      at the target center. So be ready!!!!!!!!

    • Most aneurysms are coiled because: A)The location
      of the aneurysm is too difficult for the
      neurosurgeon to clip or B)The patient is not a surgical
      candidate, the risk of surgery out ways the risk of a
      ruptured aneurysm. Just as in carotid stenosis, surgery
      (endarderectomy) is the gold standard and will continue to be, but
      in some cases it is necessary to try nonsurgical
      interventions. GDC coiling is ahead of any covered cerebral
      stenting by at least ten years.

    • agreed, but you are talking aortas vs
      intracranial vessels. Orders of magnitue difference in size.
      And to my knowledge..stent grafts are still in trial
      here and not FDA approve. Aortic stent grafts have
      such a large profile, they require surgical cut down
      even to introduce. This is a far cry from the original
      subject...intracranial stent grafts.

      stents hold lumens
      open..agreed

      stent grafts hold lumen open and repair or ameliorate
      defects in vessels....well kinda. Basically they just
      provide an intraluminal "graft", just like a surgical
      graft. They "bypass" the bad part of the artery and let
      the body scar it down. If you need to repair an
      artery (nonaneurysmal), say for dissection, a plain Jane
      stent is just fine.

    • My thinking here is....you have a (one) guy that
      put a stent in a carotid artery. Ok, the article did
      not say it clotted it off..probably didn't. Stents
      that are not covered will allow flow through. This is
      not a medically proven treatment nor does it sound
      like it will be for a LONG time..if ever. Sounds to me
      like he had no other choice and gave it a try. What if
      you stent a few aneurysms and you don't get
      fibrosis/clot formation...FDA likely will not approve it as a
      feasible treatment.

      I also concur about the stent
      being placed to hold coils in for wide mouthed
      aneurysms. You go putting in coils and they fall out...but
      VERY FEW intracranial aneurysm are wide mouthed. And I
      think if you couln't intervene...the proven methology
      (surgery) would be a better choice. Remeber, surgeons have
      been treating these things for years with almost the
      same complication rate, if not less than
      neurointervention percutaneously

      As far as getting coils
      throught the side wall of the stent..no problem..done it
      before in the peripheral circulation many
      times.

      BUT the kicker goes back to patency rates in blood
      vessels in the PERIPHERAL circulation (not heart). 5mm or
      less...100% occlusion rates rapidly with current technology
      secondary to endothelial hyperplasia. That my change with
      radiation implantation..which is coming, but slowly. You
      are clearly placing that patient at risk for
      stroke.

      Anyone want to bet the farm on one doc putting a stent
      in with the hopes is will clot the aneurysm with
      those kind of complications later.

      I will give
      it an..."interesting" I would like to know if he had
      stent first because he couldn't coil it routinely.

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