Document Detail


Six-month clinical follow-up of the Tryton side branch stent for the treatment of bifurcation lesions: a two center registry analysis.
MedLine Citation:
PMID:  20824767     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2011-03-08
Journal Detail:
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 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  798-806     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
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MeSH Terms
Descriptor/Qualifier:
Aged
Angina Pectoris / etiology,  therapy
Angina, Unstable / etiology,  therapy
Angioplasty, Balloon, Coronary / adverse effects,  instrumentation*,  mortality
Coronary Angiography
Coronary Artery Disease / complications,  mortality,  radiography,  therapy*
Disease-Free Survival
Female
Hospital Mortality
Humans
Kaplan-Meier Estimate
Male
Middle Aged
Myocardial Infarction / etiology,  therapy
Netherlands
Poland
Prospective Studies
Prosthesis Design
Registries
Risk Assessment
Risk Factors
Stents*
Thrombosis / etiology
Time Factors
Tomography, Optical Coherence
Treatment Outcome
Comments/Corrections
Comment In:
Catheter Cardiovasc Interv. 2011 May 1;77(6):807-8   [PMID:  21520382 ]

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


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