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Drug-eluting stents: Do they increase heart attack risk?

Drug-eluting stents: Do they raise coronary heart assault threat?

The most popular kind of coronary heart stent is generally viewed as harmless and helpful when employed with anti-clotting medicine.

By Mayo Clinic Personnel

A stent is a compact mesh tube inserted into an artery to hold it open up. A drug-eluting stent is coated with a sluggish-release medicine to support avoid blood clots from forming in a stent.

Blood clotting in a stent can lead to a upcoming blockage (restenosis) and may well direct to a coronary heart assault.

Stents without a drug coating are identified as bare-metal stents.

Drug-eluting stent safety

These days, new and improved variations of drug-eluting stents are viewed as harmless and helpful in most scenarios, when employed with anti-clotting medicine as prescribed. In basic, drug-eluting stents are much less likely to lead to restenosis than are bare-metal stents.

A drug-eluting stent is the most popular kind of stent employed to address a blockage of the coronary heart arteries. Many people today with coronary heart challenges have been correctly treated with drug-eluting stents, blocking the need for additional-invasive methods, these as coronary artery bypass surgical procedure. A coronary heart medical doctor (cardiologist) areas a stent all through coronary angioplasty, also identified as percutaneous coronary intervention (PCI). In this technique, a thin, adaptable tube (catheter) with a balloon on the suggestion is inserted in a blood vessel. The balloon is temporarily inflated to widen the blocked artery and strengthen blood stream. From time to time, a drug-coated balloon is employed.

If you have chest pain owing to a blocked coronary heart artery, a drug-eluting stent can cut down your indications and avoid the need for repeat angioplasty methods.

What to consider in advance of finding a drug-eluting stent

If you have a historical past of bleeding challenges, a drug-eluting stent may well not be a superior possibility for you. Soon after drug-eluting stent placement, you need to get aspirin and a more powerful prescription blood thinner these as clopidogrel (Plavix) to avoid blood clotting in the stent. You may well need to get a everyday aspirin for the relaxation of your daily life.

Your medical doctor will give you extra guidelines on what to count on in advance of and right after drug-eluting stent placement. Some points to consider are:

  • Do you need an additional kind of surgical procedure shortly? If you are contemplating surgical procedure not relevant to your coronary heart (noncardiac surgical procedure) in the yr right after obtaining your drug-eluting stent, your medical doctor may well suggest suspending it for a yr, if feasible. If you can not postpone it, a bare-metal stent may well be a far better possibility for you. Discuss to you medical doctor about your selections.
  • Do your medicines need to improve? Anti-clotting medicines and aspirin can have an effect on surgical procedures, some healthcare methods and specified medicines. If a noncardiac surgical procedure can not be postponed, discuss to your medical doctor about all the medicines you are using, in particular aspirin or prescription blood thinners. Your dosages may need to be adjusted. It also may be feasible to halt using anti-clotting medicines 6 months right after stent placement, but this have to be discussed with your medical doctor.

Soon after finding a drug-eluting stent

Soon after obtaining a drug-eluting stent, your medical doctor will prescribe medicines, these as aspirin and statins, and way of living changes to avoid stent or coronary heart challenges. Nutritious way of living changes incorporate stopping smoking, having a additional coronary heart-balanced diet program and finding a lot of workout.

For some people today, coronary bypass surgical procedure may well be completed as a substitute of stent placement. Coronary bypass surgical procedure operates properly, but it is really additional invasive than making use of stents, which indicates a for a longer period recovery time.