Bare Metal and Drug-eluting Stents | What is the Difference?
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- čas přidán 15. 06. 2024
- Bare metal stents were first used in a patient in 1986. They are made of a metal alloy (usually stainless steel). There is a higher rate of complications such as re-narrowing with this technology and as a result, from around 2003, stents that were used to treat coronary blockages were made of the metal alloy plus with an extra coating around the stent containing various types of medicines that help to reduce the risk of re-narrowing. These stents, known as drug-eluting stents (DES for short) are now the mainstream form of stents placed around the world to treat blockages with significantly less complications. compared to the original bare metal stents.
Thank you for your explanation.
4 weeks ago I had a bad heart attack. As a former EMR, I knew I had a very long wait for the ambulance, patient packaging, and travel time to an emergency room I suspected I would pass away unless I could hugely lower my heart rate and increase my O2 saturation. I layed down on the ground and called 911. Layed there doing extremely deep and long breathing until the amazing medics arrived.
Left coronary artery blocked 100 percent.
Actually saw my heart stop when they deployed the stent. Massive heat flush upon my face at the moment my heart stopped.
Crazy. Surgeon told me to cough hard, and then again.
My heart started to beat again after the second hard cough.
Life changing event.
Two days later they did a second stent except they used my right radial artery. Much better procedure than the groin puncture. That was horrible.....but it did save my life.
I now have two platinum, drug eluting stents, one in the right and the other in the left coronary arteries.
Now the fight at getting the meds figured out.....
Thanks again.
hi if i may ask why was arm entering better?
@@236vic I had a stent placed through my arm and a catheter ablation where the catheter went in my groin. Going through my arm caused no feeling at all. I will never forget lying mostly naked and cold on the operating table with the doctor and nurse trying to shove a catheter up my leg. Your experience may vary.
Beautiful explanation thanks a lot
Next Monday, 10/24/22, my interventional cardiologist is going to do an LAD angiogram with expectations of a PCI. (I failed the nuclear stress test.) He has a lot of experience with angioplasty, so he will most likely use the drug eluding stent. I don’t know how many companies manufacture stents. He probably has a favorite brand. I’m trusting that all will go well. Best wishes 🌸
How did it go
1 000 000$ Man ! Thank you for your explanation
Very interesting. Good to know if considered for a stent.
Thank you for explaining this .. I just had 3 drug eluting stents placed a day after a heart attack this had me so scared. Looking at your videos and you simple explanation makes for a much better understanding . Can you do a video on post angioplasty and what one should expect in terms of drug side effects, dos and donts and time frames? What are your thoughts on using alternative medicine as opposed to drugs. Where I am from these drugs are the equivalent to a mortgage. Is there a possibility to manage this condition without the use of these drugs which I am sure has some sort of side effects ? Thanks again and keep up the great work you are doing. God bless
Thank you for your feedback Stella and wishing you the best. We will continue to make such videos as like you, these are common questions that get asked. Recovery post stenting is an excellent discussion for an upcoming video.
thank you enjoyed that, what about dissolving stents? every situation is not the same, as there is nothing better than not having a foreign item left behind in the artery, that does not allow the artery to expand and contract as it must with body temperature. not to say that metal stent have not saved lives. With medical advancements and the fact of stent procedures getting easier, a balance of quality over long term then just a quick fix to not have that heart attack. i often wonder if a bypass has a better result in the future functioning of the affected area or artery, and less invasive if the procedure did not require the opening of the chest?
5+ Patients had no a la carte menu choice when undergoing treatment.
The results were that the artery on the left side of my heart had a 50% reduced flow. My appointment is the week after next with his PA. I would rather see the doctor but I’ll do what I have to do.
This whole thing has caused my wife and I great concern. I’m hoping to have a few minutes to just impart some information that might help us better understand what’s happening. Thank you and I enjoy your videos.
Thank you for sharing your feedback!
Can patients have an indication that DES stents are not suitable and people will get the BMS Stent?
sir,if,a stent, over a period inside artery get block again what is the medical procedure , remove the old one and need to be replaced with a new one?.
You can’t remove the old one. If the stent is blocked ( in- stent restenosis) they will insert another one into the old one, sometimes it allows multiple stents. If this is not possible then bypass maybe an option.
VERY INTERESTING subject to study on. I am a phd student in the University of Parma in Italy and intend to choose the stent design for my thesis. My major in master level was mechanical engineering but I eagerly want to pursue my education in bioengineering. What is your suggestion on this decision? Can I handle it? Grazie Doctor
Thank you for your feedback and I wish you the very best in your career. This is one of the main subjects of study of our research group here in Melbourne. I trained with Professor Carlo Di Mario, who is currently working in Florence and who is also an inspirational researcher and cardiologist. This field is fascinating and I encourage you to keep your passion going and to help future patients with safer devices into the future!
I have never understood why angioplasty is preferred over atherectomy. Why push the plaque into the artery when you can drill it out?
Gass tank