Initial clinical experience with the new EBI (BARD-XT) flexible coronary stent: acute results and follow-up
| Autor: | Rainer Schräder, Hartmut Merle, Andreas Fach, H. Spies, Stephan Rohde, R. Ensslen, Horst Sievert |
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| Rok vydání: | 1998 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Coronary Angiography Lesion Restenosis Recurrence Angioplasty Coronary stent medicine Humans cardiovascular diseases Ticlopidine Angioplasty Balloon Coronary Aspirin medicine.diagnostic_test business.industry Stent Equipment Design equipment and supplies medicine.disease Coronary Vessels Surgery surgical procedures operative Angiography Stents Radiology medicine.symptom Cardiology and Cardiovascular Medicine business medicine.drug Follow-Up Studies |
| Zdroj: | Catheterization and cardiovascular diagnosis. 43(2) |
| ISSN: | 0098-6569 |
| Popis: | The EBI (BARD-XT, C.R. Bard, Murray Hill, NJ) stent is a new radiopaque balloon expandable coronary stent with high resistance to external radial forces. It does not shorten significantly with expansion and allows stent implantation in bifurcation lesions. A total of 28 EBI stents were implanted in 23 lesions in 21 patients. Indications for stent implantation were acute closure in 1, threatened closure in 15, and electively in 7 lesions. In 2 cases, the lesion involved a bifurcation where a stent was implanted in both vessels. All patients received aspirin and ticlopidine. No anticoagulant therapy was given. The stenting procedure was successful in 22 of 23 lesions. No complications occurred with the exception of 1 patient with a thrombotic reocclusion within 1 hr after stent implantation and 1 patient with a temporary occlusion of a side branch. The mean minimal luminal diameter (MLD) increased from 0.74+/-0.46 mm before balloon dilatation to 1.27+/-0.62 mm before stent implantation and 2.32+/-0.57 mm after stent implantation. Percent stenosis decreased from 71+/-19% before angioplasty to 46+/-25% after angioplasty to 5+/-8% after stent implantation. MLD at the time of follow-up angiography after 4 months was 1.98+/-0.77 mm and percent stenosis was 26+/-21%. Restenosis of more than 50% occurred in 2 lesions. In these lesions, a second percutaneous transluminal coronary angioplasty was performed. Advantages of this stent are its flexibility together with an acceptable radial strength as well as enabling radiopacity without obscuring the arterial lumen. Stenting of bifurcation lesions is possible. |
| Databáze: | OpenAIRE |
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