Perdu wrote:
> The truth seems that there is not enough data out there on this yet. They
> had barely passed 10 years of regular usage. They're now placing regularly
> several hundreds of stents across the nation and in the world. Data will
> follow.
>
> There will also be a difference between people who get a wake up call and
> change their minds about their lifestyle, and the guy I met still at a pack
> and a half a day, after 8 1/2 years with his first stent. Many factors
> involved.
The same is true for open-heart surgery. Some grafts will
last 30 years, some close within days. The circumstances
cannot always be controlled by the patient. Generally,
smoking cessation, exercise, diabetes control, and
hypertension control work for most.
> I was also told the blood thinner (Plaxil?) is taken for 2 months or so.
> The aspirin is taken for the rest of the person's life. But aspirin is
> advised to be taken long before a stent goes in. Just watch TV. Over 40?
> Start sucking on aspirin.
Probably Plavix. Patients have to be very careful about
taking the blood thinner. Any interruption in dosage can
lead to embolism.
> Stents are an incredible alternative to open heart surgery. I was also
> amazed when they placed the stent heart valve. Then went on to discuss the
> Robot that will go in through a hole in the sternum, and do closed-open
> heart surgery, doing a bypass internally.
Stents are a very good alternative for those who are not
candidates for surgery, but there are those who would be
better served with surgery, such as diabetics with small
vessels and those with left main disease or triple-vessel
disease. In general, I look at stents as a sort of "you can
pay me now or you can pay me later" treatment. Though
open-heart surgery is more of a risk and recovery time is
slower, the results are generally better in the long term.
As an aside, our surgeons are already using the da Vinci
robotic system. There is a long learning curve and much
training to get started.
http://www.intuitivesurgical.com/products/da_vinci.html
> Don't blink your eye. Science is advancing very quickly.
You betcha !
Marsha/Ohio