Feasibility and Efficacy of Herculink Elite <sup>(TM)</sup> Biliary Stent Implantation in Large Coronary Arteries (≥5 mm) and Venous Conduits: An Observational Study

Viswanathan, Girish; Din, Jehangir; Swallow, Rosie; Levy, Terry; Boyd, Stephen A.; Talwar, Suneel

doi:10.1111/joic.12219

Cited by 1 publication

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“…Even if similar cases treated with standard coronary drug-eluting stents (DES) have been reported, 4 , 6 , 8 , 9 in our case the 6 mm maximum diameter achievable with the available DES was not enough to guarantee an adequate apposition to the graft and the left main. Off-label coronary implantation of peripheral bare metal stents (BMS) has been demonstrated to be feasible, 10 even if doubts remain about long-term patency. Nevertheless, in a patient at high-operative risk, the choice of a BMS with an adequate diameter over a DES likely to be under-dimensioned seemed reasonable, even paying the price of unknown long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

Carrera

Contorni

Gambacciani

et al. 2022

European Heart Journal - Case Reports

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Background The surgical ascending aorta repair according to the Cabrol procedure involves the interposition of a prosthetic conduit between the aortic prosthesis and the native coronary ostia. Previous cases of the Cabrol conduit stenosis have been described, most of which presented as acute coronary syndromes due to thrombotic occlusion of the graft. Case summary We present a case of stable exertional angina due to very-late stenosis of the coronary prosthetic conduit, successfully treated with trans-femoral percutaneous angioplasty and off-label implantation of a balloon expandable bare-metal stent designed for peripheral artery disease. The multimodality imaging approach gave an essential contribution both to the assessment of the lesion and to the procedural planning. Despite the concerns about long-term results, a peripheral bare metal stent was preferred over a standard coronary drug eluting stent due to the remarkable dimension of the Cabrol conduit. Three years after the procedure the patient is free from angina and coronary computed tomography showed no significative luminal loss of the stent. Conclusion Elective angioplasty of a Cabrol graft require a careful planning through a multimodality stenosis assessment. Conventional coronary stents can be not large enough to ensure adequate apposition to the wide prosthetic conduit and peripheral bare metal stents may be taken into consideration, at the price of unknown long-term outcomes.

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Section: Discussionmentioning

confidence: 99%

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

Carrera

Contorni

Gambacciani

et al. 2022

European Heart Journal - Case Reports

View full text Add to dashboard Cite

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Feasibility and Efficacy of Herculink Elite ^(TM) Biliary Stent Implantation in Large Coronary Arteries (≥5 mm) and Venous Conduits: An Observational Study

Abstract: Our paper highlights that PCI of lesions in patients with large calibre coronary arteries can successfully be achieved using biliary stents.

Cited by 1 publication

References 22 publications

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

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Feasibility and Efficacy of Herculink Elite (TM) Biliary Stent Implantation in Large Coronary Arteries (≥5 mm) and Venous Conduits: An Observational Study

Abstract: Our paper highlights that PCI of lesions in patients with large calibre coronary arteries can successfully be achieved using biliary stents.

Cited by 1 publication

References 22 publications

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

Peripheral bare-metal stent implantation for a very-late stenosis of an aortic-left main Cabrol graft: a case report

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Feasibility and Efficacy of Herculink Elite ^(TM) Biliary Stent Implantation in Large Coronary Arteries (≥5 mm) and Venous Conduits: An Observational Study