Direct stenting with a combined intravascular ultrasound-coronary stent delivery platform: a feasibility trial

Détails

ID Serval
serval:BIB_0C30F44B5F5E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Direct stenting with a combined intravascular ultrasound-coronary stent delivery platform: a feasibility trial
Périodique
Catheterization and Cardiovascular Interventions
Auteur(s)
Eeckhout  E., Berger  A., Roguelov  C., Lyon  X., Imsand  C., Fivaz-Arbane  M., Girod  G., De Benedetti  E.
ISSN
1522-1946 (Print)
Statut éditorial
Publié
Date de publication
08/2003
Volume
59
Numéro
4
Pages
451-4
Notes
Clinical Trial
Journal Article --- Old month value: Aug
Résumé
IVUS is considered as the most accurate tool for the assessment of optimal stent deployment. Direct stenting has shown to be a safe, efficient, and resource-saving procedure in selected patients. In a prospective 1-month feasibility trial, a new combined IVUS-coronary stent delivery platform (Josonics Flex, Jomed, Helsingborn, Sweden) was evaluated during direct stenting in consecutive patients considered eligible for direct stenting. The feasibility endpoint was successful stent deployment without any clinical adverse event, while the efficacy endpoint was strategic adaptation according to standard IVUS criteria for optimal stent deployment at the intermediate phase (after a result considered angiographically optimal) and at the end of the intervention (after optimization according to IVUS standards). A total of 16 patients were successfully treated with this device without any major clinical complication. At the intermediate phase, optimal stent deployment was achieved in four patients only, while at the end only one patient had nonoptimal IVUS stent deployment. In particular, the minimal in-stent cross-section area increased from 6.3 +/- 1.2 to 8.3 +/- 2.5 mm(2). These preliminary data demonstrate the feasibility of direct stenting with a combined IVUS-stent catheter in selected patients and confirm the results from larger randomized trials on the impact of IVUS on strategic adaptations during coronary stent placement.
Mots-clé
Adult Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary/*instrumentation Blood Vessel Prosthesis Implantation/*instrumentation Coronary Angiography Coronary Disease/radiography/*therapy/*ultrasonography Feasibility Studies Female Humans Male Middle Aged Pilot Projects Prospective Studies *Stents Ultrasonography, Interventional/*instrumentation
Pubmed
Web of science
Création de la notice
28/01/2008 9:51
Dernière modification de la notice
20/08/2019 12:33
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