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A new ostial stent positioning system (Ostial Pro) for the accurate placement of stents to treat aorto-ostial lesions
- Source :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions. 71(3)
- Publication Year :
- 2008
-
Abstract
- Background: The stenting of aorto-ostial lesions in the native coronary circulation, renal arteries, and saphenous vein grafts is technically challenging. Methods: We report the first in the world use of the Ostial Pro™, a novel nitinol-based device, utilized in conjunction with standard stenting techniques to assist in the precise placement of stents for the treatment of aorto-ostial lesions. Results: The Ostial Pro, is a relatively simple nitinol device that is positioned within the guiding catheter. It has distal, self-expanding legs that are advanced just distal to the tip of the guiding catheter after the ostial lesion has been crossed with the coronary guidewire and stent delivery system. The expanded nitinol legs prevent the entry of the guiding catheter into the target vessel, mark the plane of the aortic wall, and align the tip of the guide with the aorto-ostial plane. We report the successful and precise placement of stents in the aorto-ostial location in two patients with; (1) a saphenous vein graft ostial lesion and (2) a right coronary ostial lesion, using the new Ostial Pro stent positioning device. Excellent stent positioning, relative to the aorto-ostial plane, was confirmed by angiography and long axis intravascular ultrasound in both cases. Conslusions: (1) The Ostial Pro is a new, commercially available (FDA cleared), nitinol device that is simple to use and appears effective in allowing the precise placement of stent(s) at the aorto-ostial location. (2) This approach may provide a simple and effective means to assure accurate stent placement in these difficult to treat lesions. © 2008 Wiley-Liss, Inc.
- Subjects :
- Male
medicine.medical_specialty
Cardiac Catheterization
medicine.medical_treatment
Balloon
Risk Assessment
Sensitivity and Specificity
Coronary Restenosis
Coronary circulation
Restenosis
Angioplasty
Intravascular ultrasound
medicine
Alloys
Humans
Radiology, Nuclear Medicine and imaging
Angioplasty, Balloon, Coronary
Coronary Artery Bypass
Aged
medicine.diagnostic_test
Equipment Safety
business.industry
Coronary Stenosis
Graft Occlusion, Vascular
Stent
Drug-Eluting Stents
General Medicine
Equipment Design
Middle Aged
medicine.disease
Surgery
Radiography
Stenosis
medicine.anatomical_structure
Treatment Outcome
Angiography
cardiovascular system
Radiology
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 1522726X
- Volume :
- 71
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac AngiographyInterventions
- Accession number :
- edsair.doi.dedup.....443b71da9d04bf2156ca184ce0f77391