Document Detail


Acute and long-term outcomes of the novel side access (SLK-View) stent for bifurcation coronary lesions: a multicenter nonrandomized feasibility study.
MedLine Citation:
PMID:  16404749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate technical feasibility and procedural safety of SLK-View stent for treating bifurcation lesions. BACKGROUND: Percutaneous treatment of coronary bifurcation lesions represents a technical challenge. Several stenting techniques and dedicated devices have proven unsuccessful, with high rates of side branch occlusion at index procedure and follow-up. METHODS: Eighty one patients with 84 de novo coronary artery lesions involving a major side branch underwent SLK-View (Advanced Stent Technologies, Inc., Pleasanton, CA) stent implantation with subsequent kissing balloon post dilatation. SLK-View stent is a new scaffolding device incorporating a side aperture that allows access to the side-branch of a bifurcation after deployment of the stent in main vessel. All patients underwent angiographic follow-up at 6 months. Procedural, in-hospital, and 6-month follow-up outcomes were examined. RESULTS: The lesions were located in left main (n = 11), left anterior descending (n = 50), left circumflex (n = 8), right coronary artery (n = 7), and 1 ramus intermedius. The most frequent lesions (44.1%) were true bifurcations. Successful stent delivery to bifurcation was accomplished in 82/84 of the cases (97.6%). Technical success was obtained in 99 and 94% of main vessel and side branches, respectively. Stenting in side-branch was performed in 21 lesions (25%). Side-branches were accessed effectively in 100% of bifurcations postprocedurally. Binary restenosis rate at 6-month follow-up was 28.3% and 37.7% for main vessel and side-branch, respectively. TLR rate at 6-month follow-up was 21% and CABG rate of 6%. CONCLUSION: In this consecutive multicenter series of patients with coronary bifurcation lesions, this novel side-branch access stent proved feasible, with a high procedural success rate, while maintaining side-branch access.
Authors:
Fumiaki Ikeno; Young-Hak Kim; Jorge Luna; Jose A Condado; Antonio Colombo; Eberhard Grube; Peter J Fitzgerald; Seung-Jung Park; Alan C Yeung
Related Documents :
8751839 - The state of the stent: current practices, controversies, and future trends.
16763989 - Very late thrombosis after drug-eluting stents.
15721109 - Meta-analysis comparing drug-eluting stents with bare metal stents.
18764789 - Successful endovascular treatment of a hemodialysis graft pseudoaneurysm by covered ste...
10588199 - Clopidogrel versus ticlopidine after intracoronary stent placement.
12652489 - Multicenter randomized comparison of direct vs. conventional stenting: the directo trial.
21364469 - Myocardial iron loading in patients with thalassemia major in turkey and the potential ...
1857119 - Measurement of left ventricular heat production in man.
908229 - Normal single coronary artery and myocardial infarction.
Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  67     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2006 Feb 
Date Detail:
Created Date:  2006-02-02     Completed Date:  2006-07-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  198-206     Citation Subset:  IM    
Copyright Information:
2006 Wiley-Liss, Inc.
Affiliation:
Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94304, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / instrumentation*
Blood Vessel Prosthesis Implantation / instrumentation*
Coronary Angiography
Coronary Stenosis / radiography,  therapy*,  ultrasonography
Equipment Safety
Feasibility Studies
Female
Humans
Male
Middle Aged
Stents*
Treatment Outcome
Ultrasonography, Interventional

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Treatment from birth of nonketotic hyperglycinemia due to a novel GLDC mutation.
Next Document:  The impact of circadian variation on outcomes in emergency acute anterior myocardial infarction perc...