Estudio observacional prospectivo EPIC03-BIOSS. An�lisis del stent dedicado BIOSS LIM C en angioplastias en bifurcaci�n

IF 1.2 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Bruno García del Blanco, Josep Gómez Lara, Juan Carlos Rama Merchán, L. R. Goncalves-Ramírez, Imanol Otaegui Irurueta, Eduard Bosch Peligero, Julio Carballo Garrido, Jorge Palazuelos Molinero, Juan Antonio Bullones Ramírez, Joan Casanova Sandoval, J. R. Rumoroso Cuevas, Germán Calle Pérez, Eduard Fernández Nofrerías, María Ángeles Carmona Ramírez y, Armando Pérez de Prado
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引用次数: 0

Abstract

Introduction and objectives: To describe the efficacy of the BIOSS LIM C dedicated sirolimus-eluting stent to treat coronary bifurcation lesions, and impact on the bifurcation angle and carina through quantitative coronary angiography. Methods: Observational prospective study including 124 patients with bifurcation lesions treated with a BIOSS LIM C dedicated sirolimus-eluting stent excluding restenotic lesions and those without main vessel involvement. Results : The stent was successfully deployed in 121 patients (97.6%) while in 18 (14.5%) double stenting was used. The quantitative coronary analysis has shown proper stent expansion with a mean residual stenosis of 18% in the proximal segment, nearly 0% in the distal segment, and 21% in the side branch. The angiographic results of double stenting showed higher mean diameters (2.12 ± 0.30 vs 1.60 ± 0 .42; P < .001), and lower residual stenosis (18.36 ± 9.94 vs 28.49 ± 14.19%, P < .01). Distortion imposed on the bifurcation angulation was minimal with an absolute reduction of 5 degrees (52.8 ± 18.4 vs 47.5 ± 17.2; P = .001). Conclusions: The dedicated BIOSS LIM C stent has had a very high success rate to treat coronary bifurcation lesions. Angiographic results are good with a remarkably low impact on the native bifurcation angulation, and excellent results from double stenting. We think this can be a very useful device to treat coronary bifurcation lesions with the advantage of easing out the bailout deployment of a second stent into the side branch.
EPIC03-BIOS前瞻性观察研究。分叉血管成形术中Bioss LIMC专用支架的分析
引言和目的:通过定量冠状动脉造影,描述BIOSS LIM C专用西罗莫司洗脱支架治疗冠状动脉分叉病变的疗效,以及对分叉角和隆突的影响。方法:观察性前瞻性研究,包括124例接受BIOSS LIM C专用西罗莫司洗脱支架治疗的分叉病变患者,不包括再狭窄病变和无主血管受累的患者。结果:121例(97.6%)患者成功植入支架,18例(14.5%)患者使用双支架。定量冠状动脉分析显示支架扩张正确,近端节段平均残余狭窄18%,远端节段近0%,侧支21%。双支架的血管造影结果显示平均直径较高(2.12±0.30 vs 1.60±0.42;P<0.001),和较低的残余狭窄(18.36±9.94 vs 28.49±14.19%,P<0.01)。分叉角度的扭曲最小,绝对减少了5度(52.8±18.4 vs 47.5±17.2;P=0.001)。结论:专用BIOSS LIM C支架治疗冠状动脉分叉病变的成功率非常高。血管造影结果良好,对自然分叉角度的影响非常小,双支架置入效果良好。我们认为这是一种非常有用的治疗冠状动脉分叉病变的设备,其优点是可以缓解第二个支架在侧支中的紧急部署。
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来源期刊
REC Interventional Cardiology
REC Interventional Cardiology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.10
自引率
28.60%
发文量
87
审稿时长
15 weeks
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