Stent Thrombosis Part 2: A focus on the stent and procedural risks

Welcome to the second installment of our Stent Thrombosis series. While relatively rare, stent thrombosis can have serious repercussions, including acute heart attacks. Join us as Prof. Barlis sheds light on the often-overlooked stent, lesion, and procedural risk factors that play an important role in its occurrence. This episode provides a comprehensive overview of these critical considerations, offering insights that patients might not frequently encounter but are crucial for interventional cardiologists when implanting stents. As always, maintaining medication compliance, quitting smoking, and managing conditions like diabetes remain fundamental in mitigating long-term risks. Keep in touch with your healthcare professional for optimal long-term monitoring. Stay informed and empowered - like, share and subscribe!

[@chadatchison145]

These videos are very comforting, in that they keep me informed so my imagination doesn't start inventing problems where there are none, and lets me know what real issues I can discuss with my doctor. Thank you.

[@gazzafloss]

Thanks for all your information Peter. In 2014, after having my second heart attack within 13 months and after having a stent procedure to address another c.a.b. I was dicharged from hospital. Upon discharge I was given a small laminated credit card sized card that my interventionalist cardiologist said I must carry on me to show to any doctor who may seek to change my meds in the twelve months following the stent procedure. I still carry that card today, it was determined that I needed to continue taking Clopidogrel for the rest of life, which I do happily. Once again thank you for your work and taking time to educate and inform.

[@jerseytony1]

Professor Barlis Is the most honest professional smartest cardiologist in the whole world. He doesn't try to scare people to become his patients like all other drs do. He just gives the facts and options may he live at least forever!

[@lindal.8861]

Thank you to the comment on stretch pain. The doctor never told me about any stent or stretch pain, but I have experienced that after 3 stents placed.

[@trevorpowis3577]

Unbelievable but the way you describe everything makes it so believable. Fabulous 👌 Thank you again Professor B Trevor Powis Cohuna Victoria x patient (still going fine).

[@marthaellenconner98]

Informative

[@jna9888]

I have 6 stents, 3 sets of 2, was never Rx'd Clopidogrel, but famotidine 20mg, prasugrel (Effient) 10mg, aspirin 81mg, then Crestor 220mg. At this time I only take the aspirin. Almost 2 years later, seems to be fine.

[@baycchief3785]

That's very good news for having that many stents in. What is the smallest diameter of the stents. I assume they usually are on the smaller arteries unlike the LAD or Circumflex, or RCA.

[@mindofown]

important information to know

[@stephensegal5187]

I appreciate You.

[@karinbarbee364]

I to was told I will be on Clopidogrel the rest of my life.

[@helocast]

So, I've had to do a lot of chain learning in the past week from my first heart diag cath procedure (groin entry) last month to "look around" in corona and gather data, to the actual live second procedure (groin entry) last week for a single stent placement, drug-eluting Orsiro Mission (OM) 2.25x18mm. My cardiologist is very quick, few words, and impatient that I had no questions ... or didn't know which questions that I was supposed to be asking or asking the correct ones? Hence the self-teaching through these videos series. Anyway, short history: distance runner from high school through 25+ years military service with 5x/week physical training, pilot, never smoked, teetotaler since age 25, annual flight physicals with 12-pt ECG from age 25 through 50, great HDL/LDL ratios, no diabetes but family history, pre-hypertensive age 30-50 with varying drug regimens depending on different physicians/methods (diuretics > ACE inhibitors > calcium blockers). Noticed decreasing stamina since 2008 sharply turning into dyspnea on exertion, "greying out" most short of syncope (but I've had a couple episodes) and lower extremity swelling, and really no energy to do anything. So after VA provider care for the last 12 years finally convinced that we do the whole chemical stress testing, lung x-rays, pulmonary scans, spirometer, echocardiogram, spirometer tests, et al. which kind of left me no alternative and no diagnosis before being placed in this new care route with an external cardiologist. On daily ASA + Plavix since first cath ~5 weeks now, understanding aspirin for the rest of my life? and Plavix for a year? but haven't discussed drugs beyond a year. I'm trying very hard to separate bad info from good info but I'm voracious beginning this new journey. I would greatly appreciate pointers to previous video series or other video series so I can be super informed. Ya think you're doing everything right ... then this happens and suddenly uncertainty. Thanks for the helpful videos so far.

[@baycchief3785]

Thanks Dr. Very educational video as always. Quick question. After having a few stents in for 3 months, occasionally you may get like a quick sharp pain for a few seconds and disappear. Also, sometimes changing the sleep positions also help. Does that mean more time need for stening healing or stretch pain related despite they said usually take appx. few weeks or a month to complete headling? Nuclear stress test, echocardiagram, EKG wer all clear. Thank you Dr.

[@achoudry980]

Very informative. A crucial question, how is stent thrombosis detected? Does the patient get a warning symptom? Or a cardiologist can detect it?

[@008pitu]

Dear Dr Peter Thanks for your very insightful issues about stent thrombosis. I only would you like you to explain to me 2 related requests: 1: why bioscience has not created a releasing drug ststem as BMS for deliver these clopidogrel or ticagrelor during the first period , but i situ( I mean...intrastent) and/ Or why not recover the stent with endoluminal biodegradable film to avoid netak exposure to blood stream while healing the stent trauma to vessels? Thanks😉