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Drug-Coated Stents FAQ
Q: What is a stent?
A: A stent is a small, lattice-shaped, metal or plastic tube
inserted permanently into an artery or blood vessel.
A stent is used to
open an artery that has become too narrow due to atherosclerosis, a condition in
which plaque builds up on the artery's inner walls blocking blood flow. Stents are typically placed inside a coronary (heart)
artery after a balloon angioplasty procedure, in order to prevent restenosis (re-closing or re-blocking of the artery).
Q: What is a drug-coated
stent?
A: A drug-coated stent (also called "drug-eluting") stent
slowly releases drugs that potentially prevent arterial scarring and reduce the
possibility of restenosis.
Q: Has there been any
recent news about drug-coated stents?
A: In a recent
statement (updated September 14, 2006), the FDA said that it has been closely
monitoring drug-coated stents since they entered the U.S.
market in 2003 and 2004, and will continue to do so.
New data suggests that there is a small but
significant risk of stent thrombosis (blood clotting
in the stent). However, the FDA does not yet have enough information to draw any
conclusions regarding the risk and causes of stent
thrombosis.
Click here to read the FDA's
statement on coronary drug-coated stents.
Q: Are drug-coated stents safe?
A: The FDA
believes that coronary drug-coated stents remain safe
and effective when used for the FDA-approved indications. A public panel
meeting of outside scientific experts is scheduled to review all recent data
and to make recommendations about what steps should be taken.
Q: Are there any
risks associated with drug-coated stent placement?
A: Risks of stents and stent placement
include infection; blood clot; bleeding; rupture of the duct or vessel when the
stent is inserted; stent
migration (moving out of place); allergic reaction to stent
material; allergic reaction to the drug used in a drug-coated stent; and in-stent restenosis (the inside of the stent
becomes clogged).
Other rare
complications of coronary stents include chest pain,
heart attack, or tearing of the blood vessel.
Q: Who should not
undergo procedures involving drug-coated stent
placement?
A: Drug-coated stents may not be advised for patients who have had recent
heart surgery, or women who are nursing or pregnant.
Stents should not
be used in patients who cannot tolerate angioplasty, or who are sensitive
(allergic) to the stent materials. They should not be
used in patients who cannot be placed on blood-thinning (anti-platelet)
medication.
The safety and effectiveness
of a drug-coated stent have not been studied in
patients who have a blockage in a heart bypass graft, who are actually having a
heart attack, or who had previous intravascular radiation treatment.
Q: What should I do
if I think I have been injured by a drug-coated stent?
A: If you or a
loved one have been implanted with a drug-coated stent
and are experiencing any unusual health problems or medical conditions, you
should contact your doctor immediately. You may also wish to meet with an
experienced attorney to discuss your options and to protect your right to a
legal remedy for any injuries caused by a drug-coated stent.
To find an experienced attorney, use the "Find a Lawyer" tool on the
left side of this page, or click here.
Most content above from the U.S. Food and Drug Administration and U.S. National Library of Medicine and the National Institutes of Health
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