Quantitative Coronary Angiographic and Intravascular Ultrasound Assessment of a New Nonarticulated Stent: Report From the Advanced Cardiovascular Systems MultiLink Stent Pilot Study

Carrozza, Joseph P.; Hermiller, James; Linnemeier, Thomas J.; Popma, Jeffrey J.; Yock, Paul G.; Roubin, Gary S.; Dean, Larry S.; Kuntz, Richard E.; Robertson, Linda K.; Ho, Kalon K.L.; Cutlip, Donald E.; Baim, Donald S.

doi:10.1016/s0735-1097(97)00426-9

Cited by 32 publications

(25 citation statements)

References 9 publications

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Section: Discussionmentioning

confidence: 99%

“…4 Furthermore, this membrane promotes even stent expansion. 1 A complication associated with the membrane has been reported 4 ; a MultiLink stent premounted on the delivery system was used to treat a dissection after percutaneous transluminal coronary angioplasty. Post stent deployment, detachment of the elastic membrane from the balloon catheter occurred and resulted in embolization of the membrane in the coronary artery.…”

Section: Discussionmentioning

confidence: 99%

“…Low restenosis rates and low target lesion revascularization rates with the Multi-Link stent have been demonstrated in recent studies. 1,2 The Multi-Link stent delivery system contains an elastic membrane, called the C-Flex, which is located between the stent and balloon catheter. This silicone membrane has Jpn Circ J 1999; 63: 912 -913 (Received April 14, 1999; revised manuscript received August 6, 1999; accepted August 9, 1999) The Third Department of Internal Medicine, Chiba University, Chiba, Japan and *St Michael's Medical Center, Newark, New Jersey A 65-year-old male with unstable angina underwent coronary angiography, which revealed a significant stenotic lesion in the right coronary artery.…”

mentioning

confidence: 99%

“…Recent trials involving the Multi-Link stent have demonstrated low rates of both angiographic restenosis and target lesion revascularization. 1,2 The delivery system for the Multi-Link stent contains an elastic membrane between the stent and the balloon catheter. We describe a case of coronary dissection caused by overdilatation of the elastic membrane due to balloon rupture in the Multi-Link stent delivery system.…”

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confidence: 99%

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Coronary Dissection due to Overdilatation of an Elastic Membrane of the Multi-Link Stent Delivery System Caused by Balloon Rupture

Kuroda

Kobayashi

et al. 1999

Jpn Circ J

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econd generation stents, such as the Multi-Link stent (Guidant, Santa Clara, CA, USA), represent a vast improvement in interventional technology and are currently the most commonly utilized stents. Recent trials involving the Multi-Link stent have demonstrated low rates of both angiographic restenosis and target lesion revascularization. 1,2 The delivery system for the Multi-Link stent contains an elastic membrane between the stent and the balloon catheter. We describe a case of coronary dissection caused by overdilatation of the elastic membrane due to balloon rupture in the Multi-Link stent delivery system. Case ReportA 65-year-old male was admitted to hospital because of the recent onset unstable angina. Coronary angiography was performed and revealed a 90% stenosis in the proximal right coronary artery (RCA) (Fig 1A). The left anterior descending artery and the left circumflex artery were free of significant coronary artery disease. A 6F FR4 Cyber guiding catheter (SCIMED, Maple Grove, MN, USA) was positioned at the RCA ostium. A 0.014" Balance guidewire (Guidant) was advanced across the lesion into the distal lumen of the RCA. Initially, balloon angioplasty was performed using a 3.5 mm Maxxum balloon catheter (SCIMED) inflated to 6 atmospheres. Then, a 15-mm Multi-Link stent, premounted on a 3.5 mm balloon catheter, was positioned at the lesion site ( Fig 1B). While the balloon catheter was slowly being inflated, the balloon inflation pressure fell abruptly from 7 to 3 atmospheres. Coronary angiographic observation during inflation revealed overdilatation of the proximal portion of the balloon catheter (Fig 1C). Although the balloon catheter was deflated, the overdilatation remained. An attempt was made to remove the balloon catheter by pulling it back into the guiding catheter; however, this was unsuccessful. Subsequently, the guidewire, balloon catheter, and guiding catheter were withdrawn from the coronary artery as one assembled unit, leaving the stent in place. Coronary angiography revealed a coronary dissection with forward flow proximal to the Multi-Link stent (Fig 1D). An 18-mm gfx stent (Arterial Vascular Engineering, Santa Rosa, CA, USA) premounted on a 3.5-mm balloon catheter was then deployed to treat this dissection (Fig 1E). Additional balloon inflations were performed in both the Multi-Link stent and the gfx stent with a 3.5 mm Maxxum balloon catheter reaching an inflation pressure of 16 atm. The final angiogram demonstrated a good result (Fig 1F). DiscussionClinical and angiographic restenosis rates in selected lesions are reduced with coronary stenting compared with conventional balloon angioplasty. 3 Sufficient radial strength to support the vessel and good flexibility to reach a target lesion are 2 of the most important features of an ideal coronary stent. However, the 'first generation' stents, such as the Palmaz-Schatz stent and the Gianturco-Roubin stent, have only one of those features. The Palmaz-Schatz stent has high radial force and low flexibility, whereas the Gianturco-Roubin ste...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Coronary Dissection due to Overdilatation of an Elastic Membrane of the Multi-Link Stent Delivery System Caused by Balloon Rupture

Kuroda

Kobayashi

et al. 1999

Jpn Circ J

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“…The confirmed antirestenosis benefit of elective stenting [2][3][4] compels many interventionists to attempt stent deployment in all cases where vessel size and lesion length are appropriate.…”

Section: Introductionmentioning

confidence: 99%

A Novel Stent Delivery Catheter: The Intella Trinity Balloon

Oesterle

Hayase

Schuler

et al. 1999

Cathet. Cardiovasc. Intervent.

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The Trinity catheter is a novel multiballoon device designed to facilitate stent delivery by providing for predilatation, stent deployment, and further expansion on a single shaft. The device was tested extensively in a canine model with a variety of stents before being used in a limited human feasibility trial in Europe. A description of the device and its initial human application is presented. Cathet. Cardiovasc. Intervent. 46:498–502, 1999. © 1999 Wiley‐Liss, Inc.

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Immediate and mid-term results after multilink stent implantation in native coronary arteries

Lau

Ding

Johan

et al. 1999

Cathet. Cardiovasc. Intervent.

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Quantitative Coronary Angiographic and Intravascular Ultrasound Assessment of a New Nonarticulated Stent: Report From the Advanced Cardiovascular Systems MultiLink Stent Pilot Study

Cited by 32 publications

References 9 publications

Coronary Dissection due to Overdilatation of an Elastic Membrane of the Multi-Link Stent Delivery System Caused by Balloon Rupture

Coronary Dissection due to Overdilatation of an Elastic Membrane of the Multi-Link Stent Delivery System Caused by Balloon Rupture

A Novel Stent Delivery Catheter: The Intella Trinity Balloon

Immediate and mid-term results after multilink stent implantation in native coronary arteries

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