decision aid on choosing drug eluting vs. bare metal stent (draft 2)

2
DECIDE-PCI Option 2 A coronary stent is a device that props open a narrowed artery in the heart. There are 2 types of stents: bare metal and drug-coated. You may prefer one stent over the other based on the information below and a discussion with your doctor 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 not need a repeat procedure within a year. 9 will need a repeat procedure within a year. DRUG-COATED STENT: 95 will not need a repeat procedure within a year. 5 will need a repeat procedure within a year. BARE METAL STENT DRUG-COATED STENT Required Medicine Take an extra blood thinner for at least 1 month Stopping the medicine before one month increases the risk of a heart attack and death. Your total cost for the extra blood thinner for that month would be between $4.00 and $200.00. Take an extra blood thinner for at least 1 year Stopping the medicine before one year increases the risk of a heart attack and death. Your total cost for the extra blood thinner for that year would be between $48.00 and $2500.00. 1 Bare Metal Drug Coated 0 20 40 60 80 100 People

Upload: marilyn-mann

Post on 25-Jun-2015

110 views

Category:

Health & Medicine


1 download

DESCRIPTION

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

TRANSCRIPT

Page 1: Decision Aid on choosing drug eluting vs. bare metal stent (draft 2)

Option 2

A coronary stent is a device that props open a narrowed artery in the heart. There are 2 types of stents: bare metal and drug-coated. You may prefer one stent over the other based on the information below and a discussion with your doctor or nurse.

Repeat Heart ProcedureIf the stent that you receive today becomes blocked, you will need another heart procedure to reopen your artery.

BARE METAL STENT:

91 will not need a repeat procedure within a year.

9 will need a repeat procedure within a year.

DRUG-COATED STENT:

95 will not need a repeat procedure within a year.

5 will need a repeat procedure within a year.

BARE METAL STENT DRUG-COATED STENTRequired Medicine

Take an extra blood thinner for at least 1 month Stopping the medicine before one month

increases the risk of a heart attack and death. Your total cost for the extra blood thinner for that

month would be between $4.00 and $200.00.

Take an extra blood thinner for at least 1 year Stopping the medicine before one year increases

the risk of a heart attack and death. Your total cost for the extra blood thinner for that

year would be between $48.00 and $2500.00.

Bruising and Bleeding

Most patients bruise and bleed more easily while taking the extra blood thinner.

Most patients bruise and bleed more easily while taking the extra blood thinner.

Future Procedures or Surgery Must Wait

Major medical procedures, major dental work, and surgery must wait 1 month after a bare metal stent.

Major medical procedures, major dental work, and surgery must wait 1 year after a drug-coated stent.

1

Bare Metal Drug Coated0

20

40

60

80

100

Peop

le