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What Is The Expected Prognosis And Side Effects From A Triple Layered Stent?
Hi, My husband just had a stent placed inside of a stent that had already been placed inside of a stent. It seems that he needs a couple every two to three years. He now has a total of 8. He is 63 years old and has a history of 2 MI s at 38 and 40 years old, and pacemaker/defibrillator at 60. What can be expected both in terms of prognosis and side effects from a triple layered stent.
Wed, 31 May 2023
Hello,
Stents are used to keep coronary arteries open and improve blood flow to the heart muscle. In some cases, when a previously placed stent becomes blocked or narrowed again (restenosis), a new stent might be placed inside the existing one to maintain blood flow.
Triple layered stents are designed to provide added strength and support to the blood vessel walls, which can help reduce the risk of complications such as restenosis (narrowing of the treated vessel) or stent thrombosis (formation of a blood clot within the stent). Nevertheless, there are potential risks and complications associated.
With stenting including triple layered stenting potential complications that may occur are:
1. Restenosis: Re-narrowing of the artery due to the formation of scar tissue, which can lead to the need for additional interventions, such as another angioplasty or coronary bypass surgery.
2. Stent thrombosis: Formation of a blood clot inside the stent, which can potentially lead to another heart attack.
The prognosis for patients who receive a triple layered stent can vary depending on several factors, including the patient's overall health, the specific condition being treated, such as atherosclerosis, peripheral artery disease, can affect the success rate of the procedure and the patient's overall prognosis. Also the skill of the medical team performing the procedure has greater impact on prognosis as well.
Patients with a history of recurrent MI and multiple stenting are at a higher risk of developing complications such as heart failure, arrhythmias, and sudden cardiac death. However, the presence of a pacemaker and defibrillator can help manage these complications and improve the overall prognosis. Other medical conditions or risk factors, such as diabetes, high blood pressure, or a history of active smoking have less favorable prognosis.
Given your husband's history of recurrent myocardial infarctions and history of arrhythmias(abnormal heart rate), for which pacemaker and defibrillator has been placed, he may also benefit from lifestyle modifications, such as a heart-healthy diet, regular cardio exercise, and stress reduction techniques, to help improve his overall cardiovascular health and reduce the risk of future complications. Patients treated by experienced interventional radiologists or cardiologists may have better outcomes. Proper follow-up care and adherence to prescribed medications and lifestyle changes can significantly impact the long-term success of the stent.
Additionally in case of failure of the procedure or complications related to stenting along with history multiple vessel involved (as evident from multiple stenting), such as double vessel coronary artery disease or triple vessel coronary disease (2 blood vessels involved or 3 blood vessels involved), cardiologist might recommend undergoing coronary artery bypass graft(CABG) which has better outcomes if stenting is not possible anymore.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Haneef Abbasi, Internal Medicine Specialist
Stents are used to keep coronary arteries open and improve blood flow to the heart muscle. In some cases, when a previously placed stent becomes blocked or narrowed again (restenosis), a new stent might be placed inside the existing one to maintain blood flow.
Triple layered stents are designed to provide added strength and support to the blood vessel walls, which can help reduce the risk of complications such as restenosis (narrowing of the treated vessel) or stent thrombosis (formation of a blood clot within the stent). Nevertheless, there are potential risks and complications associated.
With stenting including triple layered stenting potential complications that may occur are:
1. Restenosis: Re-narrowing of the artery due to the formation of scar tissue, which can lead to the need for additional interventions, such as another angioplasty or coronary bypass surgery.
2. Stent thrombosis: Formation of a blood clot inside the stent, which can potentially lead to another heart attack.
The prognosis for patients who receive a triple layered stent can vary depending on several factors, including the patient's overall health, the specific condition being treated, such as atherosclerosis, peripheral artery disease, can affect the success rate of the procedure and the patient's overall prognosis. Also the skill of the medical team performing the procedure has greater impact on prognosis as well.
Patients with a history of recurrent MI and multiple stenting are at a higher risk of developing complications such as heart failure, arrhythmias, and sudden cardiac death. However, the presence of a pacemaker and defibrillator can help manage these complications and improve the overall prognosis. Other medical conditions or risk factors, such as diabetes, high blood pressure, or a history of active smoking have less favorable prognosis.
Given your husband's history of recurrent myocardial infarctions and history of arrhythmias(abnormal heart rate), for which pacemaker and defibrillator has been placed, he may also benefit from lifestyle modifications, such as a heart-healthy diet, regular cardio exercise, and stress reduction techniques, to help improve his overall cardiovascular health and reduce the risk of future complications. Patients treated by experienced interventional radiologists or cardiologists may have better outcomes. Proper follow-up care and adherence to prescribed medications and lifestyle changes can significantly impact the long-term success of the stent.
Additionally in case of failure of the procedure or complications related to stenting along with history multiple vessel involved (as evident from multiple stenting), such as double vessel coronary artery disease or triple vessel coronary disease (2 blood vessels involved or 3 blood vessels involved), cardiologist might recommend undergoing coronary artery bypass graft(CABG) which has better outcomes if stenting is not possible anymore.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Haneef Abbasi, Internal Medicine Specialist
I find this answer helpful
Hi,
It sounds like he has a complex medical history, and the fact that he has had multiple stents placed suggests that he has a significant amount of coronary artery disease. A stent is a small metal mesh tube that is inserted into a narrowed or blocked artery to help keep it open and improve blood flow to the heart muscle. When multiple stents are placed within each other, this is sometimes referred to as a "multilayered" or "overlapping" stent.
While there is no specific research on the long-term outcomes of triple-layered stents, generally speaking, the more stents someone has, the higher their risk of developing restenosis (the re-narrowing of the artery) or other complications such as blood clots or heart attacks. It's also possible that the artery may become too narrow to support further stenting, which could limit future treatment options.
In terms of side effects, the risks of a triple-layered stent are similar to those of a single stent, but they may be more pronounced due to the additional metal and tissue that is present in the artery. These risks include bleeding, infection, allergic reactions, and damage to the artery or surrounding tissues. There is also a risk of the stent becoming dislodged or migrating to other parts of the body.
Overall, your husband's prognosis will depend on a number of factors, including the extent and severity of his coronary artery disease, his response to treatment, and his overall health status. It's important that he works closely with his healthcare provider to manage his condition and minimize his risk of future heart events. This may involve lifestyle changes such as quitting smoking, eating a healthy diet, and exercising regularly, as well as medications to control blood pressure, cholesterol, and other risk factors.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Diwashish Biswas, Internal Medicine Specialist
It sounds like he has a complex medical history, and the fact that he has had multiple stents placed suggests that he has a significant amount of coronary artery disease. A stent is a small metal mesh tube that is inserted into a narrowed or blocked artery to help keep it open and improve blood flow to the heart muscle. When multiple stents are placed within each other, this is sometimes referred to as a "multilayered" or "overlapping" stent.
While there is no specific research on the long-term outcomes of triple-layered stents, generally speaking, the more stents someone has, the higher their risk of developing restenosis (the re-narrowing of the artery) or other complications such as blood clots or heart attacks. It's also possible that the artery may become too narrow to support further stenting, which could limit future treatment options.
In terms of side effects, the risks of a triple-layered stent are similar to those of a single stent, but they may be more pronounced due to the additional metal and tissue that is present in the artery. These risks include bleeding, infection, allergic reactions, and damage to the artery or surrounding tissues. There is also a risk of the stent becoming dislodged or migrating to other parts of the body.
Overall, your husband's prognosis will depend on a number of factors, including the extent and severity of his coronary artery disease, his response to treatment, and his overall health status. It's important that he works closely with his healthcare provider to manage his condition and minimize his risk of future heart events. This may involve lifestyle changes such as quitting smoking, eating a healthy diet, and exercising regularly, as well as medications to control blood pressure, cholesterol, and other risk factors.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Diwashish Biswas, Internal Medicine Specialist
I find this answer helpful
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