Personalized, physician-led post-stent & post-pci care with direct access to your cardiology team. Proactive monitoring. Faster interventions. Better outcomes.
Percutaneous coronary intervention (PCI) with drug-eluting stent (DES) placement is the most commonly performed coronary revascularization procedure in the United States, with over 600,000 procedures annually. Modern DES technology has reduced in-stent restenosis rates to 5-10% and stent thrombosis to less than 1%, but these events remain clinically devastating when they occur — stent thrombosis carries a 40-50% mortality rate. The post-PCI period is a critical window where dual antiplatelet therapy (DAPT) adherence, aggressive risk factor control, and lifestyle modification determine long-term outcomes. The DAPT Study demonstrated that prolonged DAPT (30 months) reduced stent thrombosis and myocardial infarction by 71% and 53%, respectively, though with increased bleeding risk — underscoring the need for individualized duration decisions based on ischemic and bleeding risk assessment. Our concierge post-PCI program ensures every patient receives optimized DAPT duration, aggressive LDL reduction to slow native vessel disease progression, structured cardiac rehabilitation, and ongoing surveillance for restenosis and disease progression — maximizing the long-term benefit of their stent procedure.
The first year after PCI is the highest-risk period for stent thrombosis, yet it is also when many patients feel their "fix" is complete and begin to disengage from cardiac care. Studies show that DAPT non-adherence — the single most important predictor of stent thrombosis — increases dramatically after 6 months as patients lose their initial motivation. In traditional care, a patient who stops their P2Y12 inhibitor early may not be seen until their next scheduled visit months later, at which point the damage may already be done. Concierge post-PCI care provides monthly medication adherence check-ins during the first year, personalized DAPT duration decisions using the DAPT score and PRECISE-DAPT calculators, rapid-access clinic visits for any chest pain or concerning symptoms, and aggressive secondary prevention targeting LDL < 55 mg/dL, blood pressure < 130/80, and HbA1c < 7.0%. This proactive model prevents the treatment gaps that turn a successful PCI into a failed long-term outcome.
Direct physician access, proactive monitoring, and personalized care plans. Concierge cardiology starting at $295/month.