Stent deformation following simulated side‐branch dilatation: A comparison of five stent designs

Ormiston, John A.; Webster, Mark; Ruygrok, Peter; Stewart, James T.; White, Harvey D.; Scott, Douglas

doi:10.1002/(sici)1522-726x(199906)47:2<258::aid-ccd27>3.3.co;2-3

Cited by 36 publications

(61 citation statements)

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“…CK release was observed in 7 patients in group A (12.5%) and 9 patients in group B (16.7%, Pϭ0. 7). No patient in either group developed a Q-wave myocardial infarction during follow-up.…”

Section: Follow-up Data: End Pointsmentioning

confidence: 86%

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Interventional Therapy of Bifurcation Lesions

Korn

Ohlow

et al. 2009

Circ: Cardiovascular Interventions

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Background-Treatment of bifurcations is a complex problem. The clinical value of treating side branches is an unsolved problem in the field of interventional cardiology. Methods and Results-We initiated a prospective randomized controlled trial. One hundred and ten patients with bifurcations were randomly assigned to 2 arms: Stenting of the main branch (MB, Taxus-stent, paclitaxel-eluting stents) and mandatory side branch (SB) percutaneous coronary intervention (PCI; kissing balloons) with provisional SB stenting (therapy A), or stenting of the MB (paclitaxel-eluting stents) with provisional SB-PCI only when the SB had a thrombolysis in myocardial infarction flow Ͻ2 (therapy B). The primary end point was target lesion revascularization.

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“…CK release was observed in 7 patients in group A (12.5%) and 9 patients in group B (16.7%, Pϭ0. 7). No patient in either group developed a Q-wave myocardial infarction during follow-up.…”

Section: Follow-up Data: End Pointsmentioning

confidence: 86%

“…1,6 Ormiston et al 7 showed that after side-branch dilatation, a distortion of the stent distal to the side branch (SB) was seen in a Plexiglas phantom, whereas side-branch dilatation can abolish this phenomenon, and thus underscoring the importance of SB-PCI.…”

Section: Clinical Perspective On P 542mentioning

confidence: 99%

Interventional Therapy of Bifurcation Lesions

Korn

Ohlow

et al. 2009

Circ: Cardiovascular Interventions

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“…This may be the first and the last step of the procedure but may also be followed by the opening of a stent cell with or without kissing balloon inflation towards the SB [37], and if necessary by the delivery of a second stent in the SB in a T [38], TAP (T And small Protrusion) (Burzotta, personal communication), Culotte [39][40][41], or Internal Crush configuration [42,43].…”

Section: Classification Of Bifurcation Lesions Treatment Techniquesmentioning

confidence: 99%

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

Louvard

Thomas

Džavík

et al. 2007

Cathet Cardio Intervent

277

139

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Background: Percutaneous coronary intervention (PCI) of coronary bifurcation lesions remains a subject of debate. Many studies have been published in this setting. They are often small scale and display methodological flaws and other shortcomings such as inaccurate designation of lesions, heterogeneity, and inadequate description of techniques implemented. Methods: The aim is to propose a consensus established by the European Bifurcation Club (EBC), on the definition and classification of bifurcation lesions and treatments implemented with the purpose of allowing comparisons between techniques in various anatomical and clinical settings. Results: A bifurcation lesion is a coronary artery narrowing occurring adjacent to, and/or involving, the origin of a significant side branch. The simple lesion classification proposed by Medina has been adopted. To analyze the outcomes of different techniques by intention to treat, it is necessary to clearly define which vessel is the distal main branch and which is (are) the side branche(s) and give each branch a distinct name. Each segment of the bifurcation has been named following the same pattern as the Medina classification. The classification of the techniques (MADS: Main, Across, Distal, Side) is based on the manner in which the first stent has been implanted. A visual presentation of PCI techniques and devices used should allow the development of a software describing quickly and accurately the procedure performed. Conclusion: The EBC proposes a new classification of bifurcation lesions and their treatments to permit accurate comparisons of well described techniques in homogeneous lesion groups. '

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“…Fig. 3; [42,43,44,45]). In a recent bench study using compliant silicone models, we showed how the detrimental effect of a kissing balloon inflation in the MV is dependent on the position of the balloons during the kiss and, furthermore, we suggested that a final proximal postdilatation step may optimize expansion and complete apposition of the stent proximal to the SB [46].…”

Section: > Proximal Postdilatation Is Important In the Treatment Of Cmentioning

confidence: 95%

New strategies in the treatment of coronary bifurcations

Iakovou

Foin

Ανδρέου

et al. 2011

Herz

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Despite major improvements in stent technology (i.e., drug-eluting stents, DES), treatment of coronary bifurcations is an ever occurring problem of the interventional cardiology. While stenting the main branch with provisional side branch stenting seems to be the prevailing approach, in the era of DES various two-stent techniques emerged (crush) or were re-introduced (V or simultaneous kissing stents, crush, T, culottes, etc.) to allow stenting in the side branch when needed. New techniques in imaging like optical coherence tomography help in better understanding bifurcation anatomy and, thus, have the potential to help us better treat this challenging subset of lesions. In addition, new dedicated bifurcation stents have been proposed in an attempt to overcome limitations associated with current approaches, and they showed promising results in early studies; however, the safety and the efficacy of these devices remain to be seen in the ongoing and upcoming trials. This review focuses on the current approaches and the development of new techniques employed for the treatment of bifurcation disease.

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Stent deformation following simulated side‐branch dilatation: A comparison of five stent designs

Cited by 36 publications

References 0 publications

Interventional Therapy of Bifurcation Lesions

Interventional Therapy of Bifurcation Lesions

Classification of coronary artery bifurcation lesions and treatments: Time for a consensus!

New strategies in the treatment of coronary bifurcations

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