How long should Dapt last?

How long should Dapt last?

The most recent American College of Cardiology/American Heart Association guidelines on duration of dual‐antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) with drug‐eluting stents (DESs) give a class I recommendation to continue DAPT for at least 12 months after an acute coronary syndrome (ACS) …

How long is a bare metal stent?

Bare Metal Stents One advantage of BMSs is that on average, endothelial stent coverage is complete in approximately 12 weeks, which decreases the risk of ST. Nevertheless, despite refinements in stent design, significant restenosis within the stented segment develops in approximately 20% to 30% of lesions.

What is the minimal duration of time that dual antiplatelet therapy should be continued?

In patients who have tolerated DAPT without a bleeding complication and who are at low bleeding risk but high thrombotic risk, continuation of DAPT with clopidogrel for 6–30 months may be considered. With regards to ACS patients, DAPT consisting of a P2Y12 inhibitor on top of aspirin is recommended for 12 months.

When can I stop Dapt?

Based on the 2016 American College of Cardiology/American Heart Association guidelines,1 in patients at high bleeding risk with a second-generation drug-eluting stent, discontinuing DAPT is safe after 3 months in patients with stable ischemic heart disease, and after 6 months in patients with an acute coronary syndrome …

When should I stop Dapt?

Data from meta-analysis and PRECISE DAPT (predicting bleeding complications in patients undergoing stent implantation and subsequent dual antiplatelet therapy) study support a reduction of DAPT duration to 3 to 6 months in cases of high bleeding risk ACS patients [8], [16], [17].

Are stents metal or plastic?

Metal stents have a wider diameter than plastic stents, and have been shown to have higher patency rates, but are also 15-40 times the cost of plastic stents. Metal stents with a polymer coating have been developed to prevent tumor ingrowth into the stent, which can lead to stent occlusion.

What is the purpose of dual antiplatelet therapy?

1 Dual antiplatelet therapy (DAPT) provides more intense platelet inhibition than single antiplatelet therapy resulting in incremental reductions in the risk of thrombotic events after percutaneous coronary intervention (PCI) or ACS, but it has been associated with an increased risk of major bleeding.

How long do you take blood thinners after stent?

It has been common practice for patients who have had a stent placed to clear a blocked artery to take an anti-clotting drug (such as Plavix, Effient, or Brilinta) plus aspirin for 12 months after the procedure. Taking these two medications, called dual anti-platelet therapy, reduces the risk of forming blood clots.

Who needs Dapt?

The American Heart Association secondary prevention guideline (2014) indicates that DAPT for 90 days in patients with severe intracranial stenosis is reasonable (Class IIb; Level of Evidence B), while patients with ischemic stroke/TIA due to atrial fibrillation who are unable to take oral anticoagulation can be treated …