Treatment of bifurcation lesions with a bifurcation-dedicated stent Multilink Frontier™. Long-term follow-up of 50 patients
Journal Title: Postępy w Kardiologii Interwencyjnej - Year 2005, Vol 1, Issue 1
Abstract
Background:Percutaneous interventions of coronary bifurcations have always been a difficult challenge, with a lower success and higher complication rate than most other lesion types. Methods: Fifty patients with symptomatic stable or unstable angina and with bifurcation lesions were treated with Multilink Frontier™ bifurcation-dedicated stent. In-hospital, thirty-day and nine-month follow-up data were obtained. Repeat coronary angiography was performed only in the case of recurrence of symptomatic ischaemia. Results: The device was successfully implanted in 46 patients. During 30-day follow-up there were no cases of death, stent thrombosis or Q-wave myocardial infarction (MI). In-hospital non-Q-wave MI was diagnosed in two patients. During long-term follow-up no patient died, there was one case of Q-wave MI, and five patients (10%) underwent repeat target-lesion revascularization because of restenosis. Conclusions: Multilink FrontierTM, a stent specifically designed for treating bifurcation lesions can be used with a high procedural success rate, and a satisfactory clinical long-term outcome.
Authors and Affiliations
Maciej Lesiak, Janusz Rzeźniczak, Jarosław Hiczkiewicz, Stefan Grajek, Małgorzata Pyda, Włodzimierz Skorupski, Przemysław Mitkowski, Marek Grygier, Artur Baszko, Andrzej Cieśliński
High-pressure plain balloon predilation preceding drug-eluting stent implantation for treatment of bare metal in-stent restenosis leads to better acute procedural results as compared to direct drug-eluting stenting. Volumetric Intravascular Ultrasound Study
Methods: Of all 61 treated ISR lesions pre- and postprocedural intravascular ultrasound (IVUS) examinations were done in consecutive 52 (85%) lesions. Strategy of DES implantation was operator dependent and angiography...
Znaczenie angiograficznej oceny perfuzji nasierdziowej i mięśnioweju chorych z zawałem serca
Calcified structure in coronary artery in patient with Marphan syndrome without detectable artherosclerosis in intravascular ultrasound (spontaneous dissection or intimal flap)
Carotid artery stenting with proximal or distal brain protection: a novel treatment modality in carotid occlusive disease
Stroke is the third commonest cause of death and a leading cause of disability. Carotid artery atherosclerosis is casually associated with 20% of strokes. Percutaneous treatment of carotid artery disease is a viable al...
Czy można leczyć ostry udar niedokrwienny mózgu za pomocą stentowania tętnicy szyjnej?