I'm two weeks out from flying up to Brooklyn for the testing and procedure with you and I'm getting a little concerned (to say the least) about restenosis. What are the restenosis rates that you are seeing for people now? Also, daily I take 2,000 IU D3 daily, 500 MG of DHA (fish oil) Nordic Natural pills, 81 mg aspirin twice a day, and I do pretty good eating healthy. Are there any things you would recommend I do in these last few weeks to help my chances of not restenosing?
Let me explain why i cannot give a good answer for this question. It is based upon the misfortune I had when the hospital stopped my program.
The vast majority of my patients have been done after a six month hiatus brought about when the hospital forbade me to perform the procedure. I resumed on weekends in November, so the vast majority of my patients have been treated in the past six months with most of those in the past four months. According to Zamboni, most restenosis occurs after the seventh month after treatment. Therefore my data is not old enough to give a good reflection of restenosis.
Let's review the cumulative restenosis rate described by Zamboni
In this chart, he evaluates the percentage of patients who are patent over time. You can see that there is an overall progressive increase in the number of patients who restenosed
If we look at the chart we seen that most of the restenosis occurs between 8 and 16 months.
You can see with time the percentage of patients who did not restenose went from 100% to 47% at 18 months.
At 90 days about 90% had not restenosed. (orange)
at 180 days about 85% had not restenosed (yellow)
At 210 days about 65% are stenosis free (green)
At one year about 55% have no stenosis (purple
at 18 months only 47% of patients have not restenosed.(red)
So we can expect that at least half of patients will restenose. Reducing intimal damage by procedural and medical manuevers, by healthy living practices such as cessation of smoking, better nutrition, etc MAY prolong the interval to restenosis. Surveillance by ultrasound mayhave value.
This restenosis seems to be an inevitable occurence in the majority of patients. We have to live with it until new devices, new medical therapies and new techniques reduce this problem.
This is very common in medical practice. People get infections. they get treated. they get another infection. Diabetics blood sugar goes up, is treated, come down, goes up again.
Face it, we are partners for a long time