Direct coronary stenting without predilatation: a new therapeutic approach with a special balloon catheter design

Catheterization and Cardiovascular Diagnosis
H R FigullaG S Werner

Abstract

Coronary stenting is the primary therapeutic option for many coronary lesions, after the risk of subacute stent thrombosis and bleeding complications has been reduced by antithrombotic regimens and improved stent expansion. It would be desirable to shorten the procedure and the duration of ischemia, and to reduce the risk of ischemic complications during balloon inflation by implanting the stent without previous dilatation of the lesion. This is not possible with the presently available stent delivery systems. This new therapeutic concept was tested with a specially designed balloon catheter, on which slotted-tube stents can be fixed between two conical radiopaque markers. Sixty-one patients eligible for angioplasty underwent direct stent implantation without predilatation. Four procedures were performed for acute myocardial infarction, and two as high-risk PTCA. Single slotted-tube stents (Palmaz-Schatz, NIR, or JOStent) of 14-16-mm length were mounted between the conical radiopaque markers of a special balloon which provided a fixation for the crimped stent. The direct implantation was successful in 80% of all patients, while in 10% the stent could be deployed after predilatation of the lesion. In 10% of lesions a stent could...Continue Reading

References

Nov 1, 1992·Catheterization and Cardiovascular Diagnosis·M PanJ A Cabrera
Oct 1, 1991·Journal of the American College of Cardiology·R M FlemingK L Gould
Nov 1, 1988·Circulation·U SigwartL Kappenberger
Jul 1, 1995·Catheterization and Cardiovascular Diagnosis·P H Wong
May 1, 1995·Catheterization and Cardiovascular Diagnosis·M C MoriceP Joly
Sep 1, 1995·Journal of the American College of Cardiology·S L GoldbergY Almagor
Jul 1, 1994·Coronary Artery Disease·A Shaknovich
May 1, 1994·Circulation·S NakamuraJ M Tobis
Jun 15, 1994·The American Journal of Cardiology·A MedinaD Pavlovic
Oct 1, 1993·Catheterization and Cardiovascular Diagnosis·E EeckhoutJ J Goy
Jun 15, 1993·The American Journal of Cardiology·M R BellD R Holmes
Feb 1, 1996·Journal of the American College of Cardiology·K H MakD J Moliterno
Mar 15, 1996·Journal of the American College of Cardiology·E EeckhoutJ L Goy
Sep 15, 1996·Circulation·E R Edelman, C Rogers

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Citations

Aug 22, 2001·Heart·H Le BretonUNKNOWN Stent Without Balloon Predilation (SWIBAP) Study Group
Nov 21, 2002·Journal of Interventional Cardiology·Claudia KalmbachHans-Reiner Figulla
Sep 20, 2002·Journal of Interventional Cardiology·Braim M RahelH W Thijs Plokker
Oct 28, 2003·Circulation Journal : Official Journal of the Japanese Circulation Society·Ren KawaguchiKoichi Taniguchi
Oct 23, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Camille BrasseletJacques Elaerts
Aug 18, 2005·The American Heart Hospital Journal·Michael Schlüter, Joachim Schofer
Nov 25, 2003·Journal of Interventional Cardiology·Sigmund SilberWilliam Wijns
Apr 13, 2000·The American Journal of Cardiology·J M de la Torre HernandezT Colman
Sep 28, 2005·Revista española de cardiología·Vicens MartíJosep M Augé
Jan 30, 2004·Revista española de cardiología·Iñigo LozanoMariano Valdés
Jan 31, 2006·The American Journal of Cardiology·Keith D DawkinsUNKNOWN TRENDS Investigators
Mar 25, 2000·Journal of the American College of Cardiology·S H WilsonD R Holmes
Jan 5, 2005·Journal of the American College of Cardiology·Michael SchlüterUNKNOWN E- and C-SIRIUS Investigators
Dec 10, 1999·Journal of the American College of Cardiology·C BriguoriA Colombo
Nov 27, 2002·The American Journal of Cardiology·Martin BrueckJosef Ludwig
Sep 28, 2005·International Journal of Cardiology·Juan A FournierUNKNOWN Direct Coronary Stenting (DCS) Spanish Group
Mar 29, 2005·Angiology·Yusuf AtmacaDervis Oral
Feb 7, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·I HerzY Adler
Aug 10, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J A OrmistonT M West
Oct 9, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·T StysP F Cohn
Aug 22, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·C CapozzoloM Chiariello
May 15, 2003·International Journal of Cardiovascular Interventions·Alexander J J IJsselmuidenGertJan Laarman
Jun 19, 2004·International Journal of Cardiovascular Interventions·Sander IJsselmuidenGertjan Laarman
Aug 2, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Régis RieuJoel Sainsous
Jan 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Dominique BoulmierHervé Le Breton
Aug 31, 2000·Coronary Artery Disease·J VeselkaT Honek
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·J VeselkaM Mates
Sep 6, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·A J CarterR Virmani
Mar 8, 2003·International Journal of Cardiovascular Interventions·Edo KaluskiRikardo Krakover
Jun 8, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·L F Satler, G Mintz
Apr 4, 2001·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·G LaarmanR van der Wieken
Nov 25, 2003·International Journal of Cardiovascular Interventions·Christophe CaussinBernard Lancelin

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