Our expert says:
Dear Annie, thanks for your query.
The combination of clopidogrel and Ecotrin is standard treatment after a drug eluting stent such as a Xience V, and your cardiologist is quite correct, Some experts now believe that it may not be necessary to take dual anti-platelet therapy for quite as long as was initially recommended.
The reason to take dual anti-platelet therapy in the first place is to minimize the risk of late stent thrombosis, ie clotting within the stent. Most of that risk has disappeared by eight months. However, the risk does not disappear completely, and there is little to be lost by taking DAPT for a full year, especially if the artery is a very large and important one, or if you are anxious.
My practice is still to recommend DAPT for a full year, unless there are good reasons for stopping clopidogrel earlier. However, other cardiologists may have different opinions and there is no completely right or wrong answer. If you are anxious about stopping early, and have no side effects, then it is not unreasonable to take the drug for the full twelve months.
Best wishes, JT.
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