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    angioplasty
    avatar
    Bev79083 posted:
    Why does some people have to go through numerous angioplasty's when stents are involved? Since my stents were put in in 2008, I have had 4 angioplasty's on the same stents. My stents are in a place where the artery makes a "V". Could this be the problem?
    Reply
     
    avatar
    jruedab responded:
    I only went once so far, but as I understand, the reasons for going more than once are:

    1) The stent collapse
    2) There are a re-stenosis over the stent (plaque build up inside the stent)
    3) There is a stenosis in another place of the arteries
    4) There is a clog

    What surprise me is that you had go so many times and you have not asked why!!! So next time do not forget to ask,

    Jesus
     
    avatar
    CardiostarUSA1 responded:
    Hi Bev:

    "Why does some people have to......"

    Sometimes, a problem can occur at the stented site, such as restenosis (renarrowing, in some cases, even with DES, especially if/when there is resistance to the drug), or new or accelerated atherosclerotic plaque buildup, requiring another angioplasty and possible re-stenting or "stent sandwich" (placing a stent within a stent).

    "My stents are in a place where the artery makes a V. Could this be the problem?"

    It may /could be. Your cardiologist should advise you on that specifically.

    In general, as reported, though the treatment of bifurcation (where the artery splits into two) blockages/lesions is a challenge to the interventional cardiologist, the introduction of drug-eluting stents (DES) has significantly reduced the restenosis problem in bifurcation blockages/lesions.

    Remember, coronay stents are only a Band-aid or spot treatment. Stents do not address the underlying disease process and what drives the atherosclerotic progression.

    Take extra-good care,

    C*



    -

    -

    Circulation. 2010;122:5-7 - American Heart Association

    Drug-Eluting Stent Restenosis

    An Uncommon Yet Pervasive Problem

    Extraction from a full text article

    http://circ.ahajournals.org/cgi/content/extract/122/1/5



    -



    Quote!

    "Be a questioning patient. Talk to your doctor and ask questions. Studies show that patients who ask the most questions, and are most assertive, get the best results. Be vigilant and speak up!"

    - Charles Inlander, People's Medical Society

    .


    It's your future......be there. :-)

    . .

    WebMD/WebMD Health Exchanges does not provide medical advice, diagnosis or treatment.
     
    avatar
    Georjie responded:
    I had my first stent in 2008,have had 2-way bypass, and more stents that followed. I am scheduled for my 10th angiogram on Tuesday! To go from never having a problem before 2008 to this in 2010 is unbelievable for me. I am a 59 yr old female. Is there ever an end?


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