New bifurcation stenting technique: Shunt stenting
Corresponding Author
Ananth M. Prasan MBBS, PhD
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Department of Cardiology, Level 1, St. George Hospital, Gray Street, Kogarah, NSW 2217, AustraliaSearch for more papers by this authorMark R. Pitney MBBS
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorDavid Ramsay MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorNigel S. Jepson MBBS
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorDaniel Friedman MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorDavid Taylor MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorRobert W. Giles MBBS, MD
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorCorresponding Author
Ananth M. Prasan MBBS, PhD
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Department of Cardiology, Level 1, St. George Hospital, Gray Street, Kogarah, NSW 2217, AustraliaSearch for more papers by this authorMark R. Pitney MBBS
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorDavid Ramsay MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorNigel S. Jepson MBBS
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorDaniel Friedman MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorDavid Taylor MBBS
Department of Cardiology, St. George Hospital, Kogarah, New South Wales, Australia
Search for more papers by this authorRobert W. Giles MBBS, MD
Eastern Heart Clinic, Prince of Wales Hospital, Randwick, New South Wales, Australia
Search for more papers by this authorAbstract
The optimal treatment of bifurcation lesions remains controversial. We describe a new technique we term shunt stenting. This technique incorporates both the new technology of drug-eluting stents and a novel procedure for optimizing the ostial side branch stent positioning. To date, early angiographic and clinical follow-up have been encouraging. Catheter Cardiovasc Interv 2004;63:474–481. © 2004 Wiley-Liss, Inc.
REFERENCES
- 1 Koller P, Safian RD. Bifurcation stenosis. In: E Freed, RD Safian, C Grines, editors. Manual of interventional cardiology. Birmingham, MI: Physicians Press. p 229–241.
- 2 Lefevre T, Louvard Y, Morice MC, Loubeyre C, Piechaud JF, Dumas P. Stenting of bifurcation lesions: a rational approach. J Interv Cardiol 2001; 14: 573–585.
- 3
Carrie D,
Karouny E,
Chouairi S,
Puel J.
“T”-shaped stent placement: a technique for the treatment of dissected bifurcation lesions.
Cathet Cardiovasc Diagn
1996;
37:
311–313.
10.1002/(SICI)1097-0304(199603)37:3<311::AID-CCD21>3.0.CO;2-J CAS PubMed Web of Science® Google Scholar
- 4
Kobayashi Y,
Colombo A,
Akiyama T,
Reimers B,
Martini G,
di Mario C.
Modified “T” stenting: a technique for kissing stents in bifurcational coronary lesion.
Cathet Cardiovasc Diagn
1998;
43:
323–326.
10.1002/(SICI)1097-0304(199803)43:3<323::AID-CCD19>3.0.CO;2-M CAS PubMed Web of Science® Google Scholar
- 5 Fort S, Lazzam C, Schwartz L. Coronary “Y” stenting: a technique for angioplasty of bifurcation stenoses. Can J Cardiol 1996; 12: 678–682.
- 6 Chevalier B, Glatt B, Royer T, Guyon P. Placement of coronary stents in bifurcation lesions by the “culotte” technique. Am J Cardiol 1998; 82: 943–949.
- 7 Yamashita T, Nishida T, Adamian MG, Briguori C, Vaghetti M, Corvaja N, Albiero R, Finci L, Di Mario C, Tobis JM, Colombo A. Bifurcation lesions: two stents versus one stent: immediate and follow-up results. J Am Coll Cardiol 2000; 35: 1145–1151.
- 8 Regar E, Serruys PW, Bode C, Holubarsch C, Guermonprez JL, Wijns W, Bartorelli A, Constantini C, Degertekin M, Tanabe K, Disco C, Wuelfort E, Morice MC. Angiographic findings of the multicenter randomised study with the sirolimus-eluting Bx velocity balloon-expandable stent (RAVEL): sirolimus-eluting stents inhibit restenosis irrespective of the vessel size. Circulation 2002; 106: 1949–1956.
- 9 Colombo A, Stankovic G, Orlic D, Corvaja N, Liistro F, Airoldi F, Chieffo A, Spanos V, Montorfano M, Di Mario C. Modified T-stenting technique with crushing for bifurcation lesions: immediate results and 30-day outcome. Catheter Cardiovasc Interv 2003; 60: 145–151.
- 10
Silva JA,
Nunez E,
White CJ,
Collins TJ,
Jenkins JS,
Zhang S,
Jain SP,
Ramee SR.
Predictors of stent thrombosis after primary stenting for acute myocardial infarction.
Catheter Cardiovasc Interv
1999;
47:
415–422.
10.1002/(SICI)1522-726X(199908)47:4<415::AID-CCD8>3.0.CO;2-I CAS PubMed Web of Science® Google Scholar
- 11 Kereiakes DJ, Choo JK, Young JJ, Broderick TM. Thrombosis and drug-eluting stents: a critical appraisal. Rev Cardiovasc Med 2004; 5: 9–15.
- 12 Al Suwaidi J, Berger PB, Rihal CS, Garratt KN, Bell MR, Ting HH, Bresnahan JF, Grill DE, Holmes DR Jr. Immediate and long-term outcome of intracoronary stent implantation for true bifurcation lesions. J Am Coll Cardiol 2000; 35: 929–936.
- 13 Colombo A, Moses JW, Morice MC, Ludwig J, Holmes DR Jr, Spanos V, Louvard Y, Desmedt B, Di Mario C, Leon MB. Randomized study to evaluate sirolimus-eluting stents implanted at coronary bifurcation lesions. Circulation 2004; 109: 1244–1249.