I have two everolimus eluting stents, back to back, in my RCA, with a totoal length of 32 mm. I am not sure if the touching or one is tucked into the other slightly. Originally, I had 90% hard blockage the second shoter stent was put in due to a tear occurring during placement of the first.
Some studies indicate problems with inadequate endothelial recovery due to the drug. And given that I have a longer run of stents it makes my situation a little riskier.
Do the stents continue to elute past the 1st year? What is the current recommendation for helping to assure proper regrowth of the artery wall?
It sounds as if your procedure may have been complicated by a dissection (tearing) of the wall of the coronary vessel, in which a second stent was deployed to "cover" the tear. Because you had drug-eluting stents placed, the current recommendations is that you remain on at least a baby aspirin for life (81 mg) and another anti-platelet agent (Plavix, Prasugrel, Ticagrelor) for at least 6 months and up to 1 year (based on the recommendation of your cardiologist). Maintaining strict compliance with these medications (not missing any doses at all) is the best way to ensure prevention of these stents thrombosing (closing off) as well as appropriate vessel healing. This should be done in conjunction with aggressive risk factor modification (blood pressure, cholesterol, diet, exercise, and no smoking).
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