Decision Aid on choosing drug eluting vs. bare metal stent (draft 2)

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Decision aid on choice of drug eluting stent vs. bare metal stent (draft 2)

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Decision Aid on choosing drug eluting vs. bare metal stent (draft 2)

  1. 1. DECIDE-PCI Option 2 1 A coronarystentis a device thatpropsopena narrowedarteryin the heart.There are 2 typesof stents:bare metal and drug-coated.Youmaypreferone stentoverthe otherbasedon the informationbelow andadiscussionwithyourdoctor or nurse. Repeat Heart Procedure If the stent that you receive today becomes blocked, you will need another heart procedure to reopen your artery. BARE METAL STENT: 91 will notneeda repeatprocedure withinayear. 9 will needarepeat procedure withina year. DRUG-COATED STENT: 95 will notneeda repeatprocedure withinayear. 5 will needarepeat procedure withina year. BARE METAL STENT DRUG-COATED STENT Required Medicine  Take an extrabloodthinnerfor at least1 month  Stoppingthe medicinebeforeone month increasesthe riskof a heart attack anddeath.  Your total cost for the extrabloodthinnerfor that monthwouldbe between$4.00 and$200.00.  Take an extrabloodthinnerfor at least1 year  Stoppingthe medicinebeforeone yearincreases the riskof a heart attack and death.  Your total cost for the extrabloodthinnerfor that yearwouldbe between$48.00 and $2500.00. Bruising and Bleeding  Most patientsbruise andbleedmore easilywhile takingthe extrabloodthinner.  Most patientsbruise andbleedmore easilywhile takingthe extrabloodthinner. Future Procedures or Surgery Must Wait  Major medical procedures,majordental work,and surgerymustwait1 month aftera bare metal stent.  Major medical procedures,majordental work,and surgerymustwait 1 year aftera drug-coatedstent. 0 20 40 60 80 100 Bare Metal Drug Coated People

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