Stent Thrombosis: An important complication after heart stents. Part 1. 

I just had a stint inserted in my LAD artery after a heart attack. My cardiologist told me I would need to be on medication for a year to prevent clots from blocking the stint. That was all the explanation required but I appreciate knowing the importance of the time element.

Hello Doctor, I am a stent recipient. This information is amazingly informative.

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!

Late last year I had two stents placed: one in the diagonal and another in the circumflex artery. After 6 months the cardiologist said I could stop taking the clopidogrel. Afterwards, I stopped having multiple bruises. The bruises would appear out of nowhere for no apparent reason. I’m so glad I found your channel. My cardiologist is great, but so very busy. You have provided answers to questions I didn’t even know I should have asked. Thank you! Best wishes 🌸

Very helpful and informative. This was explained to me by the cardiologist at the hospital a little bit, but my brain was on overload at the time and just not taking it all in. so I'm very thankful for your videos!

you are amazing Prof. Barlis . Thank you for your passion and big heart.

Thank you Peter for this valuable information explaining the procedures involved in our treatments after a cardiac event.

Glad to run upon your channel.

Hi Dr Barlis, the clarity of your summary is second to none, and you have inspired me to follow your instruction details to the letter , your diction & proper emphasis is what makes your communication so great. kindest Regards & wishes, Robert O' Rourke

Many thanks to Dr. Barlis for creating these excellent recordings. They are the best and most informative source of information about stents and bypass surgery. Cardiologists should recommend these recordings to their patients so they will be well informed when choosing treatment options. The cardiologist and other medical staff that have treated me did good work but they only provided a small portion of the information contained in these recording.

My husband is getting ready to have a stent put in and these videos have been tremendously informative. Thank you.

Another quality explanation from the Prof

Thank you for this valuable info, Dr. Barlis. I have a 3 yr old drug eluting stent, so I'm off the clopidogrel and am now taking an 81 mg aspirin daily. I greatly appreciate any information I can get. 👍

I had 3 put in about 25 years ago, so far so good.

Very informative and clear explantations of the many factors associated with clot formation in a stent. The "covering" aspect was particularly interesting and explained why one needs to stay on the clot busting meds for at least a year.. Very helpful......Thanks!

Thank you for this video. I had 4 stents put in last week and definitely needed to this information.

Excellent, informative and educational. Many thanks.

I had a "bare metal stent" in 2009, 12 months later, TO THE DAY, I had the same pains as I originally had, and required restenting with a "drug aluting stent" inside the original stent.

Thank you for the information, I had three stents put in about five years ago and no problems until a few months ago. Last checkup in January with an echocardiogram showed All was ok, then in April angina started, now awaiting an angiogram to find out what is going on. Seems strange to me that things changed so much in 4 to 5 months. I found your video helpful.

Well explained

Thank you

I thought you experts teached us students that a foreign object is attacked by our defence T cells and that this blankets the object. Why is this different from anywhere in the body.

Excellent

I have 5 stents...this is very informative. Thank you.

Thank you for the great detailed info.

Thank you.

Thank you Dr !

Thanks you for this useful information. I feel that most cases of stent thrombosis can be avoided b simoly following their doctor's recommended medications and ti go for regular follow up checkups. As for me, I just had a stent installed into the :widow maker" and will follow my doctor's recommendations to the letter. But that is only the start. From here on, I am making life changes including avoiding bad nutrition, regular exercise and making sure I reach my goal weight. I am hoping after taking the blood thinners and other associated medicine, I would be able to slowly wean myself off them in time, but of course, only with my doctor's recommendation. I have never had a heart attack, nor stable or unstable angina, and am happy what I had was caught in time. :)

Thanks, excellent explanation. Just had 2 stents, 3 weeks or so ago in addition to one 11 years ago. On aggressive meds before having a few more or a bypass for one artery.

This happened to me. I experienced an in-stent thrombosis 6 1/2 years after placement for Unstable Angina. It led to a heart attack and then cardiac arrest needing 40 minutes of CPR (using a LUCAS device), cooling protocol, and a helicopter ride to a level 1 trauma center. I spent 2 days in a coma and a month in hospitals regaining the ability to walk. I experienced a host of complications, from lung problems due to intubation (collapse, edema, pneumonia), Acute Kidney Injury, Deep Vein Thrombosis, Ischemic Colitis, and Hypoxic Ischemic Encephalopathy. It was almost comical how one thing led to another, with DVT requiring stronger blood thinners (Eliquis) in addition to Aspirin and Ticagrelor, which led to GI bleed from the Colitis, which led to H&H crash and cognitive decline, which led to transfusions. They had to put an IVC filter in to catch any clots from the DVT before stopping the Eliquis, forcing me to lay still for hours, which was almost impossible because of the sciatic pain caused by a gluteal tendon that had recent calcification, perhaps from coma immobility. It was bad enough that I couldn't walk, but I had gained 24 lbs of water weight in a couple days from the IV and AKI, but I lost it by the time I went home. I still have some mild aphasia and some memory problems, including amnesia of the event. Everyone says that's probably for the best, since it was traumatic. Didn't stop me from developing PTSD later, according to psychologists. I'm still not sure what happened. On my chart, the cath lab reports they aspirated the clot from the original stent (2.5 mm), which the described as "remarkably under-expanded", then tried to enlarge it with a balloon. That failed so they installed a larger, 4 mm stent inside it. I was confused how they could do that and my cardiologist (from a different hospital) said the older stent would have broken. Luckily, I didn't need Coronary Artery Bypass Graft as they weren't willing to do it because I had been down so long they thought I might be brain dead, making it pointless, and even told my mom she might have to make a hard decision the next day... but the EEG came back OK.

Feeling good after one month of my stenting in LAD . Probably no stent thrombosis will happen now . 😂

If from this point serious diet and execrise is made, any help?

Isn't laser angioplasty a better treatment than stents for coronary blockages or are stents still the preferred medical solution?

Problem you're in the ER and they say you need such and such procedure fone right away. They dont have time to explain the risks.

Thank. You Doctor, I received one stent due to a heart attack in 2016, I have been wondering how one checks to see if everything is fine, I asked my heart Doc, he said its fine , don't worry about it.. After watching your video, I finally got the info. I needed.Thank you!

This is an excellent education materials - thank you! Quick question. If the blood vessels got healed with tissues covering the stents within a few months than why would someone developed stent thrombosis later say after a year or more? Also how come, some get their cardiologists to stop the blood thinner med 6 months vs. 12 months and some would be taking them forever? Thank you

My partner has been kept on clodopel for twenty years now is that normal after having had two stents done. And he’s had no problems since

Thank you for a very enlightening video! At 65 I had my two bypass's stented 18 months ago after a heart attack EF at 40% . My cardiologist just took me off Bralinta staying with low dose aspirin . Still scared everyday ill die from some complication. Any words of wisdom ?

Good morning, doctor ! Thank you for your lecture. I am 63... and I will probably have to face a stent in my blood vessel. But is there any opportunity to treat the severe pain in my chest by using medications and maybe to trigger the process of autophagy?

I just had a procedure done a week ago. Two stents inserted. I'm just sure what kind of stents or where they are located. I'm trying to educate myself as much as possible.

I have two stents placed in 2003 & 2004. In 2020 a pace maker was placed as my pluses was very low at 30. How do i check about my kidney functions? Thank you for your assistance.

Is a 48mm long stent okay in lad? 2.5mm in diameter.

I had 2 stents in my he art last year and didn't need it done According to my tests. Which I was not allowed to see results until after I got home.this was not exp k aimed to me. I was only told I'd die if I didn't. OR you might not make it back next time. I went to ER with a fast heart beat. So I've been miserable the past year. They ruined my life with the stents and over medication. Make sure you get an explanation of why you need a Stent in the first place. Demand to see your te sets. Every time ask a question they just got mad so I had to go to my primary for an explanation. He said why did they do this? I said you tell me here are my tests. I graded out at a 2 and he then told me that usually don't do stents until it tested a 3, 4,or maybe 5 depending on who is reading the tests.

I had 2 Heart Stents in 2018 after a heart attack. I have been on ASS for the last couple of years. Can I stop taking blood thinners? I am not overweight and stopped smoking after my heart attack.

This happened to me immediately after stents (2) placement in the LAD due to blockage heart attack. The left main blocked 100% after the first procedure, my cardiologist said that I had a tremendous ability to clot. Whatever. I’m grateful he saved my life, take aspiring and clopidrogel meds since March 2017.

I had a stent inserted last August. After the Covid fiasco, I lost a lot of faith in doctors, drug companies, etc. 17 people out of 23 in my family got Covid AFTER they got the vaccine. I don't like to take drugs. Clopiderole left huge black splotches on my arms and legs, and I quit taking it because I was concerned about possible bleeding in my brain. I quit the statin because of terrible diarrhea. I still take verapamil. I'd rather feel good and live for a shorter period of time, than suffer the bad side effects of the drugs. I'm in my 80's, ride an exercise bike every morning and do other exercise, and take supplements like garlic that help relax my veins, plus other supplements.

My dad is currently in ICU with multiple blockages in his arteries & he's on a machine helping him breathe. They Are talking about putting stents in, I'm scared he won't make it through the procedure. What is your opinion on this he has diabetes. He went in for an infection in his foot and turned into all this.

What about stents in the knee?

Can you ever totally get of your meds after stents been placed?

Thank you so much Doctor. This information is very helpful for me being that I have 7 stents

I had 2 stents placed in the iliac artery and both failed in a week. Crazy

Stents aren't still made of metal are they?

Thank you Doctor for such an informative upload. I have one stent since late 2020. And I am on Aspirin, Atorvastatin, Ramipril, and Bisoprolol. Could you please tell me if eating (and drinking) the following spices interact with these medication which I take everyday. Clove Spice mixed in water, Turmeric ( about two table spoon a day), garlic, ginger, and cinnamon .

Is it possible to fix or replace clogged stent, or is bypass surgery the only way to fix this?

Is it so hard/expensive to have the type of imaging you showed routine? Because it will help immensely the patient to actually visualize the healing and know whether the thrombosis risk is low or not and help him decide if he/she can de-escalate the stronger antiplatelets agents that have high bleeding risk.

I had a stent implanted last week. It went into my circumflex artery to fix a 100% blockage.

But you didn't respond to my question in your original comments in your first email..............

On some video I was watching they said drug coated stents keep the body from taking in but on another video was said just the oppisite. Im confused I have watched one video saying its not the aim you say it is the aim for artery to end up covering the stent. Heres the comment. Its on #Nps Medicine Wise# Stenting vs medication

The emergency room told me I had a heart attack a long time ago. My cardiologist says I had a heart attack a long time ago. They both said we cant know how long ago. My Cardiologist said I’m fine and discontinued my heart meds and started me on stomach meds and sent me home wondering what step I need to take next. I looked up my diagnosis and understand it. But I disagree with the stability of my angina.

❤

would dissolving stents prevent stent thrombosis?

had this happen to me, 9 years after placement….turns out there was a small part of the stent, that had an edge, sticking out, that was blocking/grabbing things over the years, and it built up on that edgeuntil it said uncle and boom

Thats just great man its game over .Its fuckin game over man.What else can go wrong

It seem always your channel only against stents.. so can u discuss what is the remedy other than stents as u are obviously giving negative thoughts to other people who may really need it

Stent in proximal LAD .i am Diabetic too. Worries about what happens next.

Don’t forget your booster

I had a heart attack in January, so stents were fitted, one in back of my heart, one in main leg artery, due to my earlier lifestyle, smoking,drinking etc,I now get cramps in my legs, oh and dry gangrene in my toes, but that was a result of how bad my circulation was ,and an indication of what was going on,I'm 54 year old, have to change my lifestyle 😂