Stan Gardner M.D.
Stan Gardner M.D.
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More on Stents

November 18th, 2008 · 5:32 PM

Eight companies are joining forces to launch a $100 million study intended to determine how best to protect heart patients from clots after stent placement, reported the Wall Street Journal on October 16, 2008.  The article states that occurrences are rare, but the 1 in 14 chance of having a clot within a year that the article reports seems significant to me.  Recognizing that clots are a significant side effect with stent placement, one has to ask: how necessary are stents in the first place? As a side note, It is amazing that four stent makers can work together cooperatively, when they are fierce rivals in the $5 billion market for these devices.  The study is designed to see when is the right time to take stent patients off their blood-thinning medications.  The present guidelines are to remain on the medication one year, and the study is to determine if it should continue for 2 1/2 years.  Drug-coated stents have reduced the need for repeat stent placement within one year, from 7.5% to 4.5%.

I did some calculations.  If we were to take that $100 million and prevent the placement of stents through chelation therapy (which may cost an individual $5000), 20,000 patients could be treated, of which 16,000-18,000 would never need a stent placed in their body.  The majority of people do not need stents.  Basically, a stent constitutes placing a foreign body within a cell wall.  90% of those can be avoided, even after a recommendation for a stent has been made, by taking chelation therapy.  Vascular disease, which when if affects the heart is called cardiovascular disease, is almost 100% preventable by following healthy preventive measures.

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