|Six-month clinical follow-up of the Tryton side branch stent for the treatment of bifurcation lesions: a two center registry analysis.|
|PMID: 20824767 Owner: NLM Status: MEDLINE|
|BACKGROUND: Treatment of bifurcation lesions with the Tryton Sidebranch stent has been shown to be feasible with an acceptable clinical outcome and low side branch late loss in the first in man trial.
OBJECTIVE: To report acute procedural and six month clinical follow-up after the use of the Tryton Sidebranch stent in an "all comer" registry.
METHODS: The first 100 coronary bifurcation lesions assigned for treatment with the Tryton stent were included in a prospective registry. Procedural and angiographic success rates were determined from patient charts and pre- and postprocedural quantitative coronary angiography.
RESULTS: Totally, 96 patients with 100 lesions were included in the study. Seventy-two percent presented with stable angina, 25% with unstable angina/NSTEMI, and 3% STEMI. The bifurcation was located in the left main in 8%. Two lesions were chronic total occlusions. Sixty-nine percent were true bifurcation lesions. One failure of stent delivery occurred. Acute gain in SB was 0.76 ± 0.64 mm and three patients had residual stenosis of >30%. Angiographic success rate was 95%; procedural success rate reached 94%. Peri-procedural MI occurred in two and there was one cardiac death during hospitalization. At a median six months follow-up, TLR rate was 4%, MI 3%, and cardiac death 1%. The percentage MACE-free survival at six months was 94%. No cases of definite stent thrombosis occurred.
CONCLUSIONS: In a real world the use of the Tryton Sidebranch stent is associated with good procedural safety and angiographic success rate and acceptable outcome at six months of follow-up.
|Michael Magro; Joanna Wykrzykowska; Patrick W Serruys; Cihan Simsek; Sjoerd Nauta; Maciej Lesiak; Katarzyna Stanislawska; Yoshinobu Onuma; Evelyn Regar; Ron T van Domburg; Stefan Grajek; Robert-Jan Van Geuns|
Related Documents :
|10025697 - Intraurethral stent prosthesis in spinal cord injured patients with sphincter dyssynergia.
20385467 - Aggressive treatment of idiopathic axillo-subclavian vein thrombosis provides excellent...
9538307 - Stenting of "unprotected" left main coronary artery stenoses: early and late results.
8755077 - The radiological management of biliary complications following liver transplantation.
19616327 - Determinants and clinical significance of persistent residual shunting in patients with...
21113357 - Risk of shunt dependent hydrocephalus after treatment of ruptured intracranial aneurysm...
|Type: Journal Article; Multicenter Study Date: 2011-03-08|
|Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 77 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2011 May|
|Created Date: 2011-04-26 Completed Date: 2011-08-15 Revised Date: 2014-07-30|
Medline Journal Info:
|Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States|
|Languages: eng Pagination: 798-806 Citation Subset: IM|
|Copyright © 2011 Wiley-Liss, Inc.|
|APA/MLA Format Download EndNote Download BibTex|
Angina Pectoris / etiology, therapy
Angina, Unstable / etiology, therapy
Angioplasty, Balloon, Coronary / adverse effects, instrumentation*, mortality
Coronary Artery Disease / complications, mortality, radiography, therapy*
Myocardial Infarction / etiology, therapy
Thrombosis / etiology
Tomography, Optical Coherence
|Catheter Cardiovasc Interv. 2011 May 1;77(6):807-8
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The PREHAMI (PREsillion™ in high-risk acute myocardial infarction) registry: In-hospital and long-...
Next Document: A new technique for shortening a guiding catheter during retrograde recanalization of a chronic tota...