The Cappella Sideguard™ stent

Latib, Azeem; Chieffo, Alaide

doi:10.4244/eijv6supja24

Cited by 12 publications

(6 citation statements)

References 4 publications

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“…Further MV stenting is carried out using the crush or T techniques. 45 It is no longer available. • Biguard™ (Lepu Medical Ltd., China): This device uses a DES to stent the SB with facilitated access to the MV through its wider struts to enable a provisional T, culotte, or DK crush approach.…”

Section: Bioresorbable Vascular Scaffold In Bifurcationsmentioning

confidence: 99%

Percutaneous Coronary Intervention for Bifurcation Lesions: A State-of-the-Art Review of Techniques and Dedicated Devices

Sidhu

2016

EMJ Int Cardiol

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Percutaneous coronary intervention (PCI) has become an integral step in the management of patients with ischaemic heart disease. Bifurcation lesions are commonly encountered in PCI and are regarded as the most technically challenging lesions to treat. The literature is saturated with studies that explore the best way to treat these lesions, with a variety of techniques introduced to enable stenting of both vessels. However, the optimal method is still undetermined. In this state-of-the-art review, we discuss the various strategies that are currently regarded as ideal, particularly those which involve one or two-stent techniques. Moreover, dedicated bifurcation devices have been developed to facilitate bifurcation stenting and improve outcomes. The role of these devices in this context is also uncertain, therefore we will discuss the current evidence for their use. Finally, a road map on the ‘tips and tricks’ to successfully perform bifurcation PCI is mentioned, which will aid any interventionist performing this procedure in an optimal manner.

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Section: Bioresorbable Vascular Scaffold In Bifurcationsmentioning

confidence: 99%

Percutaneous Coronary Intervention for Bifurcation Lesions: A State-of-the-Art Review of Techniques and Dedicated Devices

Sidhu

2016

EMJ Int Cardiol

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“…However, accurate positioning of stents in ostial lesions using conventional angiography is unreliable with the true ostium frequently being missed 3–5 . As a result, a number of techniques have been developed to facilitate precise stent placement in aorto‐ostial and ostial side branch lesions including use of a ''free floating wire'' 8 the Szabo technique 9–11 and dedicated devices such as the Ostial Pro (Merit Medical, South Jordan, UT) 12 and other specialized stents 13 . However, each of these techniques and devices has limitations.…”

Section: Introductionmentioning

confidence: 99%

Real‐time intravascular ultrasound guidance: A novel technique for accurate placement of ostial stents

Harding

Webber²,

Fairley

et al. 2021

Cathet Cardio Intervent

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Objectives: To describe a novel technique for ostial stent placement using real-time IVUS guidance.Background: Accurate placement of coronary stents at ostial locations is challenging with the true ostium frequently being missed increasing the risk of adverse events.We have developed a novel technique for ostial stent placement and report our benchtop testing and initial clinical experience.Methods: Benchtop testing was performed to validate the appearance of the stent and delivery system on IVUS. Benchtop testing of real-time IVUS guided ostial stent positioning was carried out in a left main bifurcation phantom. Realtime IVUS guidance of stent placement in aorto-ostial, ostial left anterior descending (LAD), or ostial circumflex lesions was assessed in a prospective registry.Results: Bench model IVUS demonstrated clear differences between the appearances of the stent and other components of the delivery system.Positioning of 10 consecutive stents into the ostial LAD using real-time IVUS guidance was assessed in a left main bifurcation model. Median distance from proximal stent edge to LAD ostium was 0.39 mm (interquartile range 0.31 to 0.73). Real-time IVUS guidance of ostial stent placement was performed in 50 patients (51 lesions). Angiographic success was 100%. IVUS post-stenting demonstrated median distance from the proximal stent edge to the ostium was 0.2 mm (interquartile range 0.1 to 0.5 mm). There was one periprocedural myocardial infarction but no other major adverse cardiac events at 30-days. Conclusions:We have developed a novel technique using real-time IVUS guidance allowing accurate ostial stent placement.

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“…Atherectomy devices and cutting balloons can be used to prepare the lesion for stenting (12). An Ostial Pro (Ostial Solutions, Kalamazoo, MI, USA) device can be used for optimal positioning of the stent in the coronary ostium (13), and special self-expandable ostial stents have been developed in recent years (14). …”

Section: Introductionmentioning

confidence: 99%

Comparison of floating wire and single wire techniques in right coronary ostial lesions in terms of procedural features and one-year clinical follow-up results

Taştan¹,

Özel²,

Öztürk³

et al. 2015

Anatol J Cardiol

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Objective:The floating wire technique is a special technique for solving interventional problems in aortaostial lesions. There are no long-term data in the literature for the floating wire technique in right aorto-ostial lesions.Methods:One hundred twenty six patients were retrospectively analyzed in this study. All of these patients had a critical right coronary aortoostial lesion. The floating wire technique was performed on 64 patients, and the single wire technique was performed on 62 patients. The two groups were compared with each other in terms of lesional and procedural properties. Additionally, 1-year clinical follow-up results were compared between the two groups.Results:There was no significant difference in terms of lesion properties between the groups. In the floating wire group, mean stent length, number of stents, mean procedure time, mean contrast volume, and mean fluoroscopy time were significantly lower than in the single wire group. At 1 year, 1 patient from each group had myocardial infarction, and no mortality was observed. In the floating wire group, the number of patients who experienced angina and the target lesion revascularization rate were both significantly lower than in the single wire group.Conclusion:The floating wire technique in right coronary ostial lesions provides a significant advantage over the single wire technique according to procedural and clinical follow-up results.

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The Cappella Sideguard™ stent

Cited by 12 publications

References 4 publications

Percutaneous Coronary Intervention for Bifurcation Lesions: A State-of-the-Art Review of Techniques and Dedicated Devices

Percutaneous Coronary Intervention for Bifurcation Lesions: A State-of-the-Art Review of Techniques and Dedicated Devices

Real‐time intravascular ultrasound guidance: A novel technique for accurate placement of ostial stents

Comparison of floating wire and single wire techniques in right coronary ostial lesions in terms of procedural features and one-year clinical follow-up results

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