A new study raises fresh concerns about Zetia and its cousin, Vytorin _ drugs still taken by millions of Americans to lower cholesterol, despite questions raised last year about how well they work. In the study, Zetia failed to shrink buildups in artery walls while a rival drug, Niaspan, did so significantly. Zetia users also suffered more heart attacks and other problems although the numbers of these events were too small to draw firm conclusions. However, the difference in plaque that Niaspan made in this study “is precisely the same as the difference” that earlier studies found from statins, which are now known to save lives, said Dr. James Stein of the University of Wisconsin-Madison. He is a leading researcher on imaging artery buildups and in the past consulted for Schering-Plough Corp., which used to market Vytorin with Merck.