Comparison of the sheath delivery system versus bare stenting for coronary stent implantation

Catheterization and Cardiovascular Diagnosis
S KasaokaJ M Tobis

Abstract

Outside the United States, Palmaz-Schatz coronary stents are implanted by hand-crimping the stent to a high pressure balloon without the use of a protective sheath. This lowers the delivery profile, increases the ease of deployment, and ensures that the postdilatation balloon is centered on the stent. To assess this bare stenting technique, 209 patients were retrospectively analyzed: 92 patients (107 lesions) with the sheath protected stent delivery system (SDS) and 117 patients (150 lesions) with the bare stent approach. The number of balloons used per lesion in the bare stent group was significantly less than in the SDS group (1.9 +/- 0.6 vs. 3.8 +/- 1.2, P < 0.0001). In addition, the procedure time in the bare stent group was significantly shorter than in the SDS group (106 +/- 55 vs. 134 +/- 60 min, P = 0.001). There was no difference in frequency of adverse events or stent displacement during the procedure. The bare stenting technique decreases the procedure time, reduces the number of balloons used, and is as safe as the SDS approach.

References

Apr 1, 1992·Catheterization and Cardiovascular Diagnosis·A ColomboL Finci
Jul 1, 1992·Catheterization and Cardiovascular Diagnosis·A ColomboL Finci
Feb 1, 1995·Catheterization and Cardiovascular Diagnosis·V K MehanB Meier
Dec 1, 1994·Catheterization and Cardiovascular Diagnosis·V K MehanB Meier
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Aug 1, 1997·Catheterization and Cardiovascular Diagnosis·O Topaz

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Citations

Aug 31, 2000·Coronary Artery Disease·J VeselkaT Honek
Oct 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Michael S Vance
Jul 6, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A KastratiA Schömig

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