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Scuba Forum / General / April 2004

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stents

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RICHARD HEMMINGSON - 19 Apr 2004 06:18 GMT
any one know about diving with stent  from artery blockage
Jammer Six - 19 Apr 2004 09:45 GMT
> any one know about diving with stent  from artery blockage

Yes.

Signature

"We're going to rush the hijackers."
    -Jeremy Glick, aboard United Airlines flight 93, September 11, 2001

Gary Warner - 21 Apr 2004 20:44 GMT
> ? any one know about diving with stent  from artery blockage
> ?
> ?
>
> Yes.

Oh my god. That's so witty. You took the guy's question
literally. MAN, now THAT is a leap in thinking.
Crownfield - 21 Apr 2004 20:54 GMT
> > ? any one know about diving with stent  from artery blockage
> > ?
[quoted text clipped - 4 lines]
> Oh my god. That's so witty. You took the guy's question
> literally. MAN, now THAT is a leap in thinking.

he answered the question, perfectly.
Dillon Pyron - 22 Apr 2004 03:46 GMT
>> > ? any one know about diving with stent  from artery blockage
>> > ?
[quoted text clipped - 6 lines]
>
>he answered the question, perfectly.

Gave a totally correct answer that provided no information.

Must be tech support at MS.
Signature

dillon

When I was a kid, I thought the angel's name was Hark
and the horse's name was Bob.

Jammer Six - 22 Apr 2004 08:28 GMT
> >> > ? any one know about diving with stent  from artery blockage
> >> > ?
[quoted text clipped - 8 lines]
>
> Gave a totally correct answer that provided no information.

He didn't ask for information, peanut.

He asked if anyone here knew anything about diving with a stent, and I
do.

Now, since you obviously have a problem with that, why don't you tell
us just what the f.ck you think he wanted to know?

Oh, gee, you can't, can you?

You don't know what he wanted to know, do you?

Why?

Half the battle is the question, wee one.

Learning 101. Look it up.

Learn or die. We don't care what you choose.

Now sit down and shut the f.ck up.

When we're ready for coffee, someone will hit you.

Signature

"We're going to rush the hijackers."
    -Jeremy Glick, aboard United Airlines flight 93, September 11, 2001

Dillon Pyron - 22 Apr 2004 17:51 GMT
>> >> > ? any one know about diving with stent  from artery blockage
>> >> > ?
[quoted text clipped - 32 lines]
>
>When we're ready for coffee, someone will hit you.

Piss off a.s wipe.  Can't spot a little joke?  Of course, you've
contributed greatly to this NG over the years, haven't you?

Signature

dillon

When I was a kid, I thought the angel's name was Hark
and the horse's name was Bob.

Jammer Six - 22 Apr 2004 18:42 GMT
> Piss off a.s wipe.  Can't spot a little joke?  Of course, you've
> contributed greatly to this NG over the years, haven't you?

You belong to me, now.

Signature

"We're going to rush the hijackers."
    -Jeremy Glick, aboard United Airlines flight 93, September 11, 2001

Charlie Hammond - 22 Apr 2004 19:48 GMT
>>? >> > ? any one know about diving with stent  from artery blockage

This reminds me of the old story about the man with a broken arm.
He asked his doctor if he would be able to play the violin after
his arm healed.  The docor said that it was a clean break and would
heal well enough that he could play the violin.

"That is amazing!" the man told the doctor.
"I couldn't play the violin BEFORE I broke my arm."

   <big-grin>
   ....

As many people have said, check with your doctor.  If you are cleared
for physical activity in general, I don't know of any contraindication
for diving with stents implated.  But your surgeon and your personal
physician are the ones who know your particular condition and circumstances.
They get paid enough; let them answer your questions.

Signature

     Charlie Hammond -- Hewlett-Packard Company -- Ft Lauderdale  FL  USA
         (hammond@not@peek.ssr.hp.com -- remove "@not" when replying)
     All opinions expressed are my own and not necessarily my employer's.

TonyP - 22 Apr 2004 14:52 GMT
A buddy of mine is diving with stents. Doc said for him, no problem. I
would guess it is on an individual basis and the personal doctor should
be consulted on it. He had to be "cleaned" again this year.

>>? any one know about diving with stent  from artery blockage
>>?
[quoted text clipped - 4 lines]
> Oh my god. That's so witty. You took the guy's question
> literally. MAN, now THAT is a leap in thinking.
Randy Buckner - 23 Apr 2004 19:57 GMT
> > ? any one know about diving with stent  from artery blockage
> > ?
[quoted text clipped - 4 lines]
> Oh my god. That's so witty. You took the guy's question
> literally. MAN, now THAT is a leap in thinking.

Yes, it was a literal answer, but entirely correct for the query.  Now if
the fellow had asked "Can anyone tell me about the safety of diving after
stent placement?" he might have received a more expanded answer such as this
one:

There is a real risk of renarrowing in the stent.  Most of these
renarrowings occur within the first six months post-procedure. In a review
of 1084 patients who underwent follow-up angiography six months after stent
placement, the incidence of restenosis was as low as 16 percent in the
absence of any risk factors (diabetes, multiple stents, and minimal luminal
diameter after stenting <3 mm), and as high as 59 percent when at least
three factors were present.  Divers should wait six months before resuming
diving.  They should be on a good cardiac conditioning program during this
interim time.  They should then follow-up with their cardiologist and have a
treadmill stress test or cardiolyte stress test to be sure that the heart's
blood flow is adequate.  Most cardiologists consider 12 minutes on a
standard Bruce protocol stress test is indicative of pretty good coronary
performance. Controlling other coronary artery risk factors is a must.
Weight loss, diabetes control, hypertension control, and throwing away those
damned cigarettes are imperative.

So can divers who have had stents placed resume diving?  Sure, jump in,
there are no PADI Stent Police out there.  Can they do safe diving?  Sure,
do the above.

Buck
Salty - 24 Apr 2004 00:36 GMT
Dr. Randy, please forgive the top post here. I recently heard where
they are having some success with coating the stents with an enzyme
that is designed to prevent such quick post-op blockage. Just throwing
in that comment as an FYI sorta thing, not that it changes the answer
that you gave.


> Yes, it was a literal answer, but entirely correct for the query.  Now if
> the fellow had asked "Can anyone tell me about the safety of diving after
[quoted text clipped - 22 lines]
>
> Buck
Randy Buckner - 24 Apr 2004 06:53 GMT
> Dr. Randy, please forgive the top post here. I recently heard where
> they are having some success with coating the stents with an enzyme
[quoted text clipped - 28 lines]
> >
> > Buck

Top post, bottom post, who cares?  They are doing a host of things with
stents to try and prevent occlusion.  They have tried Heparin-coated stents,
polytetrafluoroethylene (PTFE) coated stents, gold-coated stents,
radioactive stents, and who knows what else.  Work is still in progress
Salty - 24 Apr 2004 10:00 GMT
> Top post, bottom post, who cares?

> Probably no one.

> They are doing a host of things with
> stents to try and prevent occlusion.  They have tried Heparin-coated stents,
> polytetrafluoroethylene (PTFE) coated stents, gold-coated stents,
> radioactive stents, and who knows what else.  Work is still in progress

Yep... and it's this new progress with the enzyme that seems to be the
current thing. Tests are said to be positive after 2 yrs.  We'll see.
Adam Helberg - 24 Apr 2004 07:53 GMT
> > > ? any one know about diving with stent  from artery blockage
> > > ?
[quoted text clipped - 17 lines]
> diameter after stenting <3 mm), and as high as 59 percent when at least
> three factors were present.

Divers should wait six months before resuming
> diving.

Can I ask you why the wait if the diver passes the exercise stress test?
Randy Buckner - 25 Apr 2004 05:52 GMT
> > > > ? any one know about diving with stent  from artery blockage
> > > > ?
[quoted text clipped - 22 lines]
>
> Can I ask you why the wait if the diver passes the exercise stress test?

Good question Adam, and not one that I can answer with authority.  Through
readings on the subject I see that restenosis is most common out to 6
months.  Can you go for four months, get a passing stress test, then go
diving?  Good chance, but I'd lay it on the cardiologists footsteps/ DAN.

I always say DAN, but the one time that I needed their help with one of my
patients, they never responded to two of my emails.  They lost a bit of
credibility with me after that.  I check regular medical resources now.
Jammer Six - 26 Apr 2004 00:09 GMT
> Good chance, but I'd lay it on the cardiologists footsteps/ DAN.

I wouldn't, and I didn't.

DAN doesn't know anything about stents.

Signature

"We're going to rush the hijackers."
    -Jeremy Glick, aboard United Airlines flight 93, September 11, 2001

Randy Buckner - 26 Apr 2004 07:00 GMT
> ? Good chance, but I'd lay it on the cardiologists footsteps/ DAN.
>
> I wouldn't, and I didn't.
>
> DAN doesn't know anything about stents.

Put that stint in with your Kabar, did you?  Who the hell needs Dan, eh?
Jammer Six - 26 Apr 2004 11:41 GMT
> Put that stint in with your Kabar, did you?  

f.ck Kabars. Kabars are for posers.

> Who the hell needs Dan, eh?

No one with a dive emergency, that's for sure.

Signature

"We're going to rush the hijackers."
    -Jeremy Glick, aboard United Airlines flight 93, September 11, 2001

Dillon Pyron - 26 Apr 2004 02:41 GMT
>> > > > ? any one know about diving with stent  from artery blockage
>> > > > ?
[quoted text clipped - 28 lines]
>>
>> Can I ask you why the wait if the diver passes the exercise stress test?

Just asked my MIL (who has a stent).  She was told that the stress
test a 4 months was not "definitive" (ask a doctor what that word
means, I sure don't know), but that the test at 7 months was a good
indicator on the success of the placement.  Although they did not do
so in her case, she has heard of some patients who had an angiogram at
6-7 months.

>Good question Adam, and not one that I can answer with authority.  Through
>readings on the subject I see that restenosis is most common out to 6
>months.  Can you go for four months, get a passing stress test, then go
>diving?  Good chance, but I'd lay it on the cardiologists footsteps/ DAN.

I agreee, the real answer lies with one's own doctor.  Although the
many posters on this NG are all well trained medical professionals,
there's nothing like actually being charged for an opinion  :-)

>I always say DAN, but the one time that I needed their help with one of my
>patients, they never responded to two of my emails.  They lost a bit of
>credibility with me after that.  I check regular medical resources now.

Whenever one of my docs writes me a prescription, I always ask about
it's affects at depth.  The answer is almost always same.  "No
research".  What's really silly is that all the drugs come with the
warning "may cause drowsiness".  My Wellbutrin says that side affects
may include "restlessness, lack of sleep and mild aggressiveness" and
"may cause drowsiness".
Signature

dillon

When I was a kid, I thought the angel's name was Hark
and the horse's name was Bob.

Adam Helberg - 26 Apr 2004 03:00 GMT
> >> > > > ? any one know about diving with stent  from artery blockage
> >> > > > ?
[quoted text clipped - 55 lines]
> may include "restlessness, lack of sleep and mild aggressiveness" and
> "may cause drowsiness".

After you use a drug for a while you should be aware of how it affects you and whether you
can dive with it or not. Reading all the possible side effects of a drug really does not
tell you if you are going to have any of those effects. I may be wrong but I don't think
there is any drug that is known to be unusable just because of depth.

Adam
Greg Mossman - 26 Apr 2004 03:49 GMT
> After you use a drug for a while you should be aware of how it affects you and whether you
> can dive with it or not. Reading all the possible side effects of a drug really does not
> tell you if you are going to have any of those effects. I may be wrong but I don't think
> there is any drug that is known to be unusable just because of depth.

What about nitrous oxide?  I don't see much underwater dentistry going on.
Adam Helberg - 26 Apr 2004 05:10 GMT
> > After you use a drug for a while you should be aware of how it affects you
> and whether you
[quoted text clipped - 5 lines]
>
> What about nitrous oxide?  I don't see much underwater dentistry going on.

Alright, drugs that are not gases.
Lee Bell - 19 Apr 2004 17:20 GMT
> any one know about diving with stent  from artery blockage

Yep.  Your doctor will know about it.  Talk to him.

I have a friend who was recenently certified as fit to lead a local police
dive team after having been diagnosed with substantial blockage.  His stent
(sp?) placement was a problem, but finally  worked out OK.  He took a stress
test that inidicated he was, once again, fully functional and is back at
work full time.

This is a pretty good indication that diving after such a procedures is
possible, but that's all it is.  Talk to your doctor.

Lee
Adam Helberg - 19 Apr 2004 20:23 GMT
> any one know about diving with stent  from artery blockage

I agree you should ask your cardiologist. The stent takes about 6 weeks to
reendotheliolize and then it presumably behaves like a normal artery. You should have an
exercise stress test before diving. You can also ask your question on
http://www.diversalertnetwork.org/contact/email.asp?re=Medicine

Adam
 
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