during place of a 22mm stent in my RCA there was a tear on one end an so a short stent of approx 10 mm was placed next to the first. These are Xience V drug elluting stents.
Due to the long effective stent length of over 3 cm I am concerned about the length of time it will take the endothelial layer to grow back and the possible need to stay on effient for several years instead of the standard 1 year. the 22 mm stent covers a long hard thick lesion so it is my understanding that endothelial cells will have to grow from the two ends of the approx 3 cm run and that it will take quite a long time and with some uncertainty before the struts are covered and the risk of blockage is diminished.
Is there enough experience with long stents (or back to back stents) which would allow you to comment on the suggested duration of effient usage and the added increased likelihood of complications?
Many patients require either long stents or multiple side by side stents as you describe. There is no definite recommendation for the duration of anti platelet therapy in such cases and this decision is usually left to the discretion of your interventionalist because each case is different and the risk/benefit of long term treatment must be determined. For any drug eluting stent, one year is the minimum time for dual anti platelet therapy but again your physician may want you to take it longer depending on your individual situation.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.