By Antonio Colombo, Goran Stankovic
A trailblazer in interventional cardiology, Dr. Antonio Colombo combines his tremendous event with that of Goran Stankovic and unique colleagues to proportion tips and methods for facing diseased coronary arteries. no matter if discussing his 'crushing and kissing' thoughts or the stenting of tortuous vessels within the aged, Dr. Colombo and his colleagues' texts and case commentaries give you the reader with succinct and straightforward recommendation in line with own adventure. they supply the main complete and functional consultant on hand for these all for coronary artery stenting. the pictures are all down-loadable in Powerpoint and may be of great use to teachers and scholars alike.
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Extra resources for Colombo's Tips & Tricks for Drug Eluting Stents
If all the above maneuvers are difficult, a new wire needs to be used to access the side branch. In case of no success, reshaping of the tip with a wider, >90° curve, should be attempted. The fact that the probing catheter is advanced over the wire coaxial to the stent deployed in the main branch will also prevent the second wire from engaging below the struts of the mainbranch stent. The inflation pressure should also be kept well under the rated burst pressure because balloon rupture within a stent strut can also cause balloon entrapment.
Focal predilation: yes – Complete predilatation or just to allow delivery? J Am Coll Cardiol 2004; 43:1154–60 Page 28 This page intentionally left blank. Page 29 3 LesionSpecific Stenting Page 30 This page intentionally left blank. If the operator feels comfortable and believes that the lesion can be stented directly, this should be done without fear of increasing acute or longterm complications or deteriorating the results. 5 mm in diameter, 18 mm long (Cypher stent, Cordis) is deployed with an excellent final result.
A more comprehensive understanding of the impact of this new treatment in a wide variety of patients, as well as market competition with changes in the cost of these devices, is likely to redefine the relationship between costs and benefits. A comparison of balloonexpandablestent implantation with balloon angioplasty in patients with coronary artery disease. A randomized comparison of coronarystent placement and balloon angioplasty in the treatment of coronary artery disease. Presented at the Scientific Sessions of the American College of Cardiology, DrugEluting Stent Symposium, Chicago, March 29, 2003 Page 11 Taxus tips & tricks Keith D Dawkins MD The Taxus Program refers to a series of trials assessing the application of paclitaxel in the inhibition of instent restenosis in coronary artery lesions of increasing complexity (slide 1).
Colombo's Tips & Tricks for Drug Eluting Stents by Antonio Colombo, Goran Stankovic