Background-We have previously reported the safety and effectiveness of sirolimus-eluting stents for the treatment of de novo coronary lesions. The present investigation explored the potential of this technology to treat in-stent restenosis. Methods and Results-Twenty-five patients with in-stent restenosis were successfully treated with the implantation of 1 or 2 sirolimus-eluting Bx VELOCITY stents in São Paulo, Brazil. Nine patients received 2 stents (1.4 stents per lesion). Angiographic and volumetric intravascular ultrasound (IVUS) images were obtained after the procedure and at 4 and 12 months. All vessels were patent at the time of 12-month angiography. Angiographic late loss averaged 0.07Ϯ0.2 mm in-stent and Ϫ0.05Ϯ0.3 mm in-lesion at 4 months, and 0.36Ϯ0.46 mm in-stent and 0.16Ϯ0.42 mm in-lesion after 12 months. No patient had in-stent or stent margin restenosis at 4 months, and only one patient developed in-stent restenosis at 1-year follow-up. Intimal hyperplasia by 3-dimensional IVUS was 0.92Ϯ1.9 mm 3 at 4 months and 2.55Ϯ4.9 mm

The novel VESTAsync-eluting stent was effective in reducing LL and neointimal hyperplasia at 4 and 9 months, with no evidence of late catch-up by quantitative coronary angiography or intravascular ultrasound.

The deployment of DES in complex, real-world patients resulted in a low rate of very long-term MACE and ST. However, ST still occurs very long after the index procedure.

Parkour landing techniques differ from performances of other sports as they are practiced in urban spaces with uncontrolled surfaces and drop heights. Due to the relatively young age of the sport, few studies have tried to understand how practitioners - called traceurs - succeed at performing these dynamic performances. In this paper, we focus on the precision landing technique, which has a fundamental role in most of the Parkour motions. We analyzed the lower limbs motion of traceurs executing the precision landings from two different heights and compared their performance with untrained participants. We found that traceurs perform a soft landing extending its duration twice than untrained participants do [Formula: see text], increasing the range of motion [Formula: see text] and generating more mechanical energy [Formula: see text] to dissipate the impact. In the Parkour technique, the knee accounted for half of the energy dissipated. The peak joint torques [Formula: see text] and power [Formula: see text] were reduced in the Parkour technique. The increase of the landing height did not modify the proportion of individual joint mechanical energy contribution for dissipation. Our results could be used to enhance Parkour performance, and to understand new ways in which sport practitioners can land in order to prevent injuries.

The use of DES in unselected population is associated with long-term safety and effectiveness with acceptable low rates of adverse clinical events.

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