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From: mark (
Subject:         What happens to the stents?
Date: February 25, 2009 at 4:46 pm PST

Dr Neal,

Kindly requesting you to comment.

I'm anxious to understand what happens to the stent or stented area(whether bare metal or DES) after they are implanted in the Coronary arteries? Does it get covered with endothelial linings? Does body heal it back to the state prior to stenting?

As I understand, Stents are made of metal and are like a spring. Since they are made up of metal, how does the the stented area dilate(metal being rigid), stented area should expand when there is emotional or physical exertion requiring more blood flow just as how the natural artery would dilate.

What about the inflammation in the stented area? Could metal cause inflammation?

Does stent by itself pose some risk even after following four components of Ornish reversal Program? or risk with or without the stent is the same when the program is followed. When no dietary and or lifestyle changes are made, arteries and stented area may continue to get worse. I'm curious to know the risk of stented area when the Ornish program is followed.

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