By Antonio Colombo, Goran Stankovic
A trailblazer in interventional cardiology, Dr. Antonio Colombo combines his huge adventure with that of Goran Stankovic and distinct colleagues to percentage suggestions and methods for facing diseased coronary arteries. even if discussing his 'crushing and kissing' concepts 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 easy suggestion in accordance with own adventure. they supply the main complete and sensible advisor to be had for these serious about coronary artery stenting. the photographs are all down-loadable in Powerpoint and may be of large use to teachers and scholars alike.
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Extra info for Colombo's Tips & Tricks for Drug Eluting Stents
Sixmonth QCA favored the NIRx with a significantly larger MLD and lower diameter stenosis (slide 15, Figure 1). 35 mm in the NIRx group (slide 16). The Taxus I trial confirmed the safety and efficacy of the paclitaxeleluting NIRx stent in the treatment of short, discrete de novo lesions (slide 17). Taxus II (slide 18). 5 mm in diameter (slide 19). The primary endpoint was reached with a 60% relative reduction, similar in the SR and MR groups (slide 20, Figure 2). There was no significant difference in the effectiveness of the SR and MR preparation (slide 21).
Taxus VI addressed this issue using the MR preparation (slide 38). 5% of patients. A fifth of the patients were diabetic (slide 39). Ninemonth clinical followup was 98% complete (slide 40). 7 in the Taxus MR group (slide 41). 1% (slide 42, Figure 6). 4% at 9 months (slide 43, Figure 7). MACE composition at nine months was similar in the two groups which would be anticipated in this long complex lesion trial (slide 44). The Taxus MR stent was effective over the range of classic risk factors which are known to be associated with an adverse TLR rate (slide 45).
Here we list several considerations which should be evaluated in order to draw up a final plan: ● How large and important is the side branch? ● Does the side branch come out from the main at an acute angle? ● Does the ostium or the proximal segment of the side branch have a significant narrowing? ● Is the side branch very difficult to wire? ● Is the patient a very highrisk patient and does the side branch appear relatively important? ● Is the main branch severely narrowed with a considerable plaque burden?