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Titolo:
PLACEMENT OF CORONARY STENTS IN BIFURCATION LESIONS BY THE CULOTTE TECHNIQUE
Autore:
CHEVALIER B; GLATT B; ROYER T; GUYON P;
Indirizzi:
CTR CARDIOL NORD,DEPT HEMODYNAM & ANGIOPLASTIE CORONAIRE,32-36 AVE MOULINS GEMEAUX F-93200 SELLES ST DENIS FRANCE
Titolo Testata:
The American journal of cardiology
fascicolo: 8, volume: 82, anno: 1998,
pagine: 943 - 949
SICI:
0002-9149(1998)82:8<943:POCSIB>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
PALMAZ-SCHATZ STENT; BALLOON ANGIOPLASTY; SIDE BRANCHES; ARTERY DISEASE; FOLLOW-UP; COMPLICATIONS; PROTECTION; STENOSES; SUCCESS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
B. Chevalier et al., "PLACEMENT OF CORONARY STENTS IN BIFURCATION LESIONS BY THE CULOTTE TECHNIQUE", The American journal of cardiology, 82(8), 1998, pp. 943-949

Abstract

Coronary angioplasty of bifurcation lesions remains a technical challenge. Balloon angioplasty induces recoil and the ''snow-plow'' effect with a risk of side branch occlusion, The late result is associated with a high rate of reintervention. Randomized studies in nonbifurcated lesions have demonstrated better short- and midterm results after stent placement. We propose the ''culotte'' technique as a new technique to place intracoronary stents in bifurcation lesions: implantation of 2 similar stents in 2 steps in the main branch and in the side branch with overlapping of the 2 stents in the main branch before bifurcation. We performed this technique in 50 patients tin the left anterior diagonal branch in 33, in the left circumflex obtuse marginal branch in 12, in the right coronary artery in 4, and in the left main coronary artery in 1). The clinical success rate was 94% with 3 non-Q-wave myocardial infarctions. Late results indicated a 24% target lesion revascularization rate, which improved when a true kissing balloon inflation was used to achieve final deployment of both stents. This culotte technique is highly feasible and provides excellent short-term results. Assessment of its midterm benefit requires further study. (C) 1998 by Excerpta Medica, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 05:21:18