• Tim -- I think you are referring to OCT, so we
have started this new thread on the subject. You can find out more detail
about OCT imaging by clicking the "Related Topics" at the top
of the right-hand column. This imaging modality is not yet approved
in the
U.S.,
but it is
used in
research and clinical trials. In Europe and Japan it is being used much
more widely (Dr. Guagliumi of Bologna is one of the leaders in this field).
OCT is an over-the-wire imaging system. It is an invasive procedure which
can be done in the cath lab, as part of an angiogram or angioplasty. Its
use as a "check" on stent strut coverage is not proven clinically
yet -- but the results from the ODESSA trial were very interesting indeed.
The
Endeavor DES from Medtronic had the most complete coverage (almost 100%)
at 6 months, even better than a bare-metal stent. These, and other studies,
are part of the basis for a couple new studies being done about optimal
duration of dual antiplatelet therapy (Plavix and aspirin) with the Endeavor
stent -- they are testing both 6 month and 3 month duration. We will be
reporting on these studies as they progress. As for the acid reflux, have
you discussed the use of H2 blockers or PPIs with your cardiologist? There
is some concern that one or more PPIs may inhibit the action of Plavix,
but
your
cardiologist can guide you here. Forum Editor, Angioplasty.Org, February 8, 2010
• Recently read about an imaging device or test
that checks to see if a medicated stent has endothelium safely layered.
I am 51, very active and Plavix is causing acid reflux. Want to quit
plavix but not die because i am too rash. DO you have info on this test?
Thank
you Tim, Virginia, USA, February 8, 2010
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