After angioplasty, what can prevent my artery from clogging again?

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  1. Dr. Anthony Komaroff
     
    Dr. Anthony Komaroff answered:
    One way to prop open a blood vessel is to insert a mesh cage called a stent into the artery. But plaque, in a process called restenosis, can gradually clog the stent. To help keep such arteries clear, scientists have developed drug-coated stents.

    Following a stent procedure, you take medications to prevent blood clots that could lead to restenosis, or renarrowing of the artery. To prevent this problem, doctors may use a stent coated with medication. Aspirin must be taken indefinitely, no matter what type of stent is used. In addition, clopidogrel (Plavix) or prasugrel (Effient) is prescribed for at least one month if an uncoated stent is inserted, and for at least one year if a drug-coated stent is used.

    Adopting heart-healthy lifestyle choices is equally important. These include not smoking; exercising more; choosing a diet rich in fruits, vegetables, grains, and plant protein; and reducing stress.
    More Related Answers from Dr. Anthony Komaroff
    One way to prop open a blood vessel is to insert a mesh cage called a stent into the artery. But plaque, in a process called restenosis, can gradually clog the stent. To help keep such arteries clear, scientists have developed drug-coated... More