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Bloodthinners

Posted: Wed Oct 27, 2010 9:51 am
by dinahciran
Hi! Im new here. For about how long is it necessary to take bloodthinners after angioplasty or stents?

Posted: Wed Oct 27, 2010 10:25 am
by Cece
Welcome! You ask a question to which the docs don't know the answer. They use different types of anticoagulants like Coumadin or antiplatelets like Plavix and for different amounts of time. Some docs even start a course of Plavix or aspirin four days before a procedure. Some people have reported that they developed clotting despite being on blood thinners. For now my best advice is to listen to your own IR. Typical duration is between a few weeks to a few months. Patients who develop clotting will typically be given more anticoagulation in addition to imaging and a possible second venoplasty. But all docs vary.

Posted: Wed Oct 27, 2010 4:37 pm
by 1eye
My regimen following 3 arterial stents was six months of Plavix, aspirin and a statin. After that I was allowed to go off Plavix, (I am back on it for another 3 months post-venoplasty) but the others are more permanent.

I would think six months might be conservative, but it gave me a chance to grow into my stents.

Posted: Wed Oct 27, 2010 5:45 pm
by bigfoot14
We met with an IR today to schedule a procedure for my wife...

He starts his patients on Plavix 5 days before,
uses heperin during the procedure
then uses lovenox (sp?) for 6 days and plavix for three months post procedure then baby asprin ....

He also does not use stents....