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

Drug-eluting stents: Do they improve coronary heart attack chance?

The most common form of coronary heart stent is normally viewed as safe and successful when applied with anti-clotting medicine.

By Mayo Clinic Personnel

A stent is a little mesh tube inserted into an artery to retain it open up. A drug-eluting stent is coated with a sluggish-launch medicine to assist prevent blood clots from forming in a stent.

Blood clotting in a stent can lead to a potential blockage (restenosis) and could lead to a coronary heart attack.

Stents with no a drug coating are identified as bare-steel stents.

Drug-eluting stent safety

Today, new and enhanced versions of drug-eluting stents are viewed as safe and successful in most circumstances, when applied with anti-clotting medicine as recommended. In typical, drug-eluting stents are a lot less very likely to lead to restenosis than are bare-steel stents.

A drug-eluting stent is the most common form of stent applied to address a blockage of the coronary heart arteries. Numerous folks with coronary heart challenges have been productively taken care of with drug-eluting stents, stopping the want for far more-invasive processes, this sort of as coronary artery bypass medical procedures. A coronary heart health practitioner (cardiologist) locations a stent through coronary angioplasty, also identified as percutaneous coronary intervention (PCI). In this course of action, a slender, adaptable tube (catheter) with a balloon on the idea is inserted in a blood vessel. The balloon is quickly inflated to widen the blocked artery and enhance blood circulation. At times, a drug-coated balloon is applied.

If you have upper body ache thanks to a blocked coronary heart artery, a drug-eluting stent can lessen your signs and prevent the want for repeat angioplasty processes.

What to take into consideration ahead of receiving a drug-eluting stent

If you have a history of bleeding challenges, a drug-eluting stent could not be a fantastic choice for you. Following drug-eluting stent placement, you want to just take aspirin and a stronger prescription blood thinner this sort of as clopidogrel (Plavix) to prevent blood clotting in the stent. You could want to just take a every day aspirin for the rest of your lifestyle.

Your health practitioner will give you further directions on what to count on ahead of and right after drug-eluting stent placement. Some issues to take into consideration are:

  • Do you want an additional form of medical procedures quickly? If you’re thinking about medical procedures not related to your coronary heart (noncardiac medical procedures) in the year right after getting your drug-eluting stent, your health practitioner could suggest suspending it for a year, if probable. If you are not able to postpone it, a bare-steel stent could be a much better choice for you. Talk to you health practitioner about your selections.
  • Do your prescription drugs want to transform? Anti-clotting prescription drugs and aspirin can influence surgeries, some health care processes and specified prescription drugs. If a noncardiac medical procedures are not able to be postponed, converse to your health practitioner about all the prescription drugs you’re using, especially aspirin or prescription blood thinners. Your dosages could want to be modified. It also could be probable to prevent using anti-clotting prescription drugs 6 months right after stent placement, but this ought to be reviewed with your health practitioner.

Following receiving a drug-eluting stent

Following getting a drug-eluting stent, your health practitioner will prescribe prescription drugs, this sort of as aspirin and statins, and way of living adjustments to prevent stent or coronary heart challenges. Wholesome way of living adjustments include things like stopping smoking, consuming a far more coronary heart-nutritious diet regime and receiving loads of workout.

For some folks, coronary bypass medical procedures could be carried out as a substitute of stent placement. Coronary bypass medical procedures is effective very well, but it really is far more invasive than applying stents, which usually means a for a longer time restoration time.