5-Year Follow-Up of Polytetrafluoroethylene-Covered Stents Compared With Bare-Metal Stents in Aortocoronary Saphenous Vein Grafts

Stone, Gregg W.; Goldberg, Sheldon; O’Shaughnessy, Charles; Midei, Mark; Siegel, Robert; Cristea, Ecaterina; Dangas, George; Lansky, Alexandra J.; Mehran, Roxana

doi:10.1016/j.jcin.2010.11.013

Cited by 65 publications

(25 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In addition, long-term patency of PTFE-covered coronary stents might be inferior as restenosis rates of up to 21% 10 months after treatment of coronary artery aneurysms have been reported 8. In the treatment of saphenous vein graft stenosis, the use of PTFE-covered stents compared with bare metal stents led to a higher rate of restenosis (68.3 vs. 51.8%, p = 0.007) after 5 years 9. Although the surgical approach is more invasive, the complete removal of the hematoma was achievable and relief of hematoma-induced compression of the distal coronary artery was provided.…”

Section: Discussionmentioning

confidence: 99%

Myocardial Ischemia Caused by Subepicardial Hematoma

Grieshaber

Nef

Böning

et al. 2017

THORAC CARDIOV SURG Reports

View full text Add to dashboard Cite

Background Bleeding from bypass anastomosis leakage occurs early after coronary artery bypass grafting. Later, once the anastomosis is covered by intima, spontaneous bleeding is unlikely. Case Description A 63-year-old male patient developed a pseudoaneurysm-like, subepicardial late-term bleeding resulting in a hematoma that compromised coronary artery flow by increasing extracoronary pressure. This resulted in severe angina pectoris (Canadian Cardiovascular Society IV) and myocardial ischemia within the affected area. After surgical removal of the hematoma and repair of the anastomosis, the patient's symptoms disappeared and no signs of myocardial ischemia were present. Conclusion Surgical removal is an efficient therapy for subepicardial hematoma inducing myocardial ischemia.

show abstract

Section: Discussionmentioning

confidence: 99%

Myocardial Ischemia Caused by Subepicardial Hematoma

Grieshaber

Nef

Böning

et al. 2017

THORAC CARDIOV SURG Reports

View full text Add to dashboard Cite

show abstract

“…The third consideration is the restenosis issue. In one study, after coronary stenting restenosis occurred in 25% of patients17). A covered stent, such as, the Jostent Graftmaster, is a stainless steel stent with the PTFE membrane placed between 2 layers of stent struts.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Vertebral Artery Dissecting Aneurysms Presenting with Subarachnoid Hemorrhage Treated by Staged Coil Trapping and Covered Stents Graft

Yoon

Shim

Kim

et al. 2012

J Korean Neurosurg Soc

View full text Add to dashboard Cite

The treatment of bilateral vertebral artery dissecting aneurysms (VADAs) presenting with subarachnoid hemorrhage (SAH) is still challenging. The authors report a rare case of bilateral VADA treated with coil trapping of ruptured VADA and covered stents implantation after multiple unsuccessful stent assisted coiling of the contralateral unruptured VADA. A 44-year-old woman was admitted to our hospital because of severe headache and sudden stuporous consciousness. Brain CT showed thick SAH and intraventricular hemorrhage. Cerebral angiography demonstrated bilateral VADA. Based on the SAH pattern and aneurysm configurations, the right VADA was considered ruptured. This was trapped with endovascular coils without difficulty. One month later, the contralateral unruptured VADA was protected using a stent-within-a-stent technique, but marked enlargement of the left VADA was detected by 8-months follow-up angiography. Subsequently two times coil packing for pseudosacs resulted in near complete occlusion of left VADA. However, it continued to grow. Covered stents graft below the posterior inferior cerebellar artery (PICA) origin and a coronary stent implantation across the origin of the PICA resulted in near complete obliteration of the VADA. Covered stent graft can be used as a last therapeutic option for the management of VADA, which requires absolute preservation of VA flow.

show abstract

“…Although conduits in combination with the internal mammary artery have partly replaced the use of saphenous veins during CABG procedures, graft patency rates remain overall unsatisfactory (24). Moreover, shortand long-term outcomes of PCI in saphenous vein graft are poor with drug-eluting stents as well as bare-metal stents (25,26). Therefore, the need to revascularize native coronary CTO with prior CABG is high.…”

Section: Cto With Coronary Artery Bypass Graft (Cabg)mentioning

confidence: 99%

Pathology of Coronary Chronic Total Occlusion

Sakakura

Yahagi

Virmani

2016

Int Cardiovasc Res J

View full text Add to dashboard Cite

There is an increasing need for percutaneous revascularization procedures of coronary Chronic Total Occlusion (CTO), because many patients with severe coronary artery disease have limited options for revascularization. Although the success rate of percutaneous revascularization of CTOs was unsatisfactory from the 1990s to the 2000s, recent technological advances in interventional strategies have improved the success rate to 85%. Detailed histological assessment of human autopsy studies of CTO has contributed significantly to the refinement in Percutaneous Coronary Intervention (PCI) techniques and device development. We have recently reported the pathological findings and characteristics of CTOs that occur in different clinical scenarios. In this review, we discuss the pathology of CTOs to facilitate greater understanding of revascularization strategies for CTOs.

show abstract

5-Year Follow-Up of Polytetrafluoroethylene-Covered Stents Compared With Bare-Metal Stents in Aortocoronary Saphenous Vein Grafts

Abstract: The long-term prognosis for diseased SVGs requiring PCI is dismal. The JOSTENT PTFE stent-graft results in inferior outcomes compared with BMS, despite high-pressure implantation and prolonged dual antiplatelet therapy, a finding that becomes more evident with longer-term follow-up.

Cited by 65 publications

References 30 publications

Myocardial Ischemia Caused by Subepicardial Hematoma

Myocardial Ischemia Caused by Subepicardial Hematoma

Bilateral Vertebral Artery Dissecting Aneurysms Presenting with Subarachnoid Hemorrhage Treated by Staged Coil Trapping and Covered Stents Graft

Pathology of Coronary Chronic Total Occlusion

Contact Info

Product

Resources

About