Direct stent implantation without predilatation using the multilink stent

Pentousis, Dimitrios; Guérin, Yves; Funck, F; Zheng, Hong; Toussaint, Marcel; Corcos, Thierry; Favereau, Xavier

doi:10.1016/s0002-9149(98)00683-3

Cited by 82 publications

(48 citation statements)

References 13 publications

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“…As reported here, the technique was applicable in 58% of lesions for which primary stenting was planned. Unlike other studies that used special stent delivery systems [11] or specific stent [12], we applied different types of frequently used stents with high success rate. Figulla et al [11] reported a primary success rate of 80%, but in their case the stents were manually crimped on the balloon, whereas all the stents used in our study and in others were premounted [7][8][9]11].…”

Section: Discussionmentioning

confidence: 99%

“…The standard deployment procedure of coronary stents requires predilatation of the stenotic lesion by balloon or debulking devices. Due to technical progress [6], new stent designs with improved flexibility, acceptable crossing profile, and stable adherence on the balloon delivery system, predilatation can now be eliminated in some cases, This procedure has been described by our team [7][8][9][10] and others [11,12]. In addition to potential advantages such as reduced cost and radiation exposure, animal studies have shown that stent deployment without balloon predilatation may be less traumatic to the vessel and provide lesion dilatation while avoiding complete endothelial denudation, less neointimal hyperplasia, and lower restenosis rate [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice

Herz

Assali

Solodky

et al. 2000

Cathet. Cardiovasc. Intervent.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice

Herz

Assali

Solodky

et al. 2000

Cathet. Cardiovasc. Intervent.

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“…The pre and routine post dilation balloon is useful for facilitate optimal stent deployment (SD) and stent optimization (STOP). Pre-dilatation with the correct size and type of balloon will cause less trauma to the vessel than direct stenting [22,23]. Pre-dilatation also: (1) Increases the rate of successful stent delivery by creating a pathway for the delivery system; (2) May prevent damage to the drug coating during delivery; (3) Can help to estimate lesion length and diameter using the balloon markers; (4) Aids full stent apposition by modifying the lesion before the practitioner places the stent.…”

Section: Failure Of Stentmentioning

confidence: 99%

A review of stent’s failure on patent ductus arteriosus

Lazim

Ismail

Taib

et al. 2017

IOP Conf. Ser.: Mater. Sci. Eng.

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Abstract. This paper presents a review of stent's failure on patent ductus arteriosus (PDA). Ductus arteriosus (DA) is an opening for newborn babies and some patient that experienced cynotic congenital heart disease (CCHD) should maintain the duct opening for survival. To date, there are no specific research on mechanical stent failure study at DA. The challenging of the stent implantation on PDA is the PDA morphology. The failure of stent in term of stent fracture have been reported and reviewed in this paper. Furthermore, the failure prediction of stent is important for further stent design development. The morphology of PDA, stent type and material used in PDA and method for accessing the failure of stent is reviewed.

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“…Recently, the introduction of premounted stents offered the possibility of stent deployment without predilatation [5]. This technique may reduce the risk of ischemic complications both in elective and in primary angioplasty [6,7]. Furthermore, in animal models direct stenting limits the extent of endothelial ablation and reduces neointimal hyperplasia [8].…”

Section: Introductionmentioning

confidence: 99%

Direct coronary stenting: Effect on coronary blood flow, immediate and late clinical results

Capozzolo

Piscione

Luca

et al. 2001

Cathet Cardio Intervent

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Direct stenting (DS) was attempted in 99 coronary lesions in 94 patients while standard stenting (SS) was attempted in 113 lesions in 103 patients matched for clinical characteristics, stenosis type, and location and stent type. The angiographic result was also evaluated according to TIMI frame count method (TFC) before and after procedure. A clinical follow-up was performed 1 year after the procedure. Before the procedure, TIMI grade 3 flow was detected in 42 cases (42.4%), grade 2 in 40 cases (40.4%), grade 1 in 5 cases (5.1%), and grade 0 in 12 cases (12.1%) in the DS group; these data were similar in SS group. After the procedure, TIMI grade flow was 3 in 90 cases (92.8%) in DS group and in 87 (77.0%) in SS group (P < 0.005); grade 2 was observed in 7 case (7.2%) in DS group and in 25 (22.1%) in SS group (P < 0.005). Major adverse cardiac events during hospitalization and at follow-up were similar in two groups. Radiation exposure time and procedure costs per lesion were significantly reduced in DS group compared to SS group (10.1 +/- 8 min vs. 13.9 +/- 4.7 min, P < 0.001; and 1901 +/- 687 Euro vs. 2352 +/- 743 Euro, P < 0.001, respectively). This study confirms that, in selected patients, direct stenting is a safe and successful procedure, allowing a significant reduction in radiation exposure time and procedural costs compared to standard stenting technique. The angiographic success is confirmed by the improvement in TFC in all cases.

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Direct stent implantation without predilatation using the multilink stent

Cited by 82 publications

References 13 publications

Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice

Coronary stenting without predilatation (SWOP): Applicable technique in everyday practice

A review of stent’s failure on patent ductus arteriosus

Direct coronary stenting: Effect on coronary blood flow, immediate and late clinical results

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