Document Detail


New approach to direct stenting using a novel 'All-In-One' coronary stent system via 5 french diagnostic catheters: A pilot study.
MedLine Citation:
PMID:  23378279     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: We sought to evaluate the strategy success and short term clinical outcomes of direct stenting via 5 French (F) diagnostic catheters using a novel bare metal stent with integrated delivery system (Svelte Medical Systems, New Providence, New Jersey, USA) and compare the results to a conventionally treated matched group. METHODS: Fifteen consecutive patients with lesions deemed suitable for direct stenting using a bare metal stent were included. The primary endpoint was the strategy success defined as the ability to successfully treat a target lesion via a 5 F diagnostic catheter with a good angiographic result (TIMI III flow, residual stenosis ≤20%). Procedure and fluoroscopy times, contrast agent use, cost, and short-term clinical outcomes were compared to a matched group treated via conventional stenting. RESULTS: The primary endpoint was reached in 14/15 patients (93%). There were no significant differences in procedural (58.6 minutes ± 12.7 vs. 57.4 minutes ± 14.2) or fluoroscopy times (10.0 min ± 4.3 vs.10.1 min ± 3.9) or contrast agent use (193.7 ml ± 54.8 vs. 181.4 ml ± 35.6). However, there were significant reductions in materials used in the study group compared to the control group equating to cost savings of almost US $600 per case (US $212.44 ± 258.09 vs. US $804.69 ± 468.11; p=0.001). CONCLUSIONS: Direct stenting using a novel bare metal stent with an integrated delivery system via 5 F diagnostic catheters is a viable alternative to conventional stenting in selected patients and is associated with significant cost savings. © 2013 Wiley Periodicals, Inc.
Authors:
Ahmed A Khattab; Crochan J O'Sullivan; Giulio G Stefanini; Lorenz Räber; Mark Paquin; Stephan Windecker; Bernhard Meier
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-4
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Wiley Periodicals, Inc.
Affiliation:
Cardiology Department, Bern University Hospital, Bern, Switzerland. ahmed.khattab@insel.ch.
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