Impact of stent strut link location in proximal balloon edge dilation technique for bifurcation percutaneous coronary intervention
The single-stent strategy has generally been accepted as the default approach to bifurcation percutaneous coronary intervention. We have proposed the proximal balloon edge dilation (PBED) technique to prevent stent deformation during side branch (SB) dilation. This bench study aimed to evaluate the...
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| Veröffentlicht in: | Cardiovascular intervention and therapeutics 2024-04, Vol.39 (2), p.137-144 |
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| creator | Kume, Teruyoshi Nishi, Takeshi Murasato, Yoshinobu Koto, Satoshi Sasahira, Yoshitaka Okamoto, Hiroshi Yamada, Ryotaro Koyama, Terumasa Tamada, Tomoko Imai, Koichiro Neishi, Yoji Uemura, Shiro |
| description | The single-stent strategy has generally been accepted as the default approach to bifurcation percutaneous coronary intervention. We have proposed the proximal balloon edge dilation (PBED) technique to prevent stent deformation during side branch (SB) dilation. This bench study aimed to evaluate the impact of stent link location and stent design on stent deformation, obstruction by stent struts at a jailed SB ostium, and incomplete stent apposition in the proximal optimization technique (POT)-PBED procedure. A coronary bifurcation model was used. We intentionally set the absence or presence of stent link on the carina (link-free or link-connect) under videoscope observation and compared stent parameters between 3- and 2-link stents (
n
= 5 each,
n
= 20 total). In the link-free group, the SB jailing rate of 3-link stents was significantly higher than that of 2-link stents (15.5 ± 5.1% vs. 6.6 ± 1.2%,
p
= 0.009). In the link-connect group, the SB jailing rate of 3-link stents was significantly lower than that of 2-link stents (30.0 ± 4.5% vs. 39.0 ± 2.6%,
p
= 0.009). In the bifurcation segment, the rate of incomplete stent apposition was significantly lower for 3-link stents of the link-connect group than for 2-link stents of the link-connect group (3.3 ± 4.2% vs. 19.0 ± 7.8%,
p
= 0.009). For both stent designs, ellipticity ratio was higher for link-connect group than link-free group. Link location as well as stent cell design greatly impacted stent deformation during the POT-PBED procedure.
Graphical abstract |
| doi_str_mv | 10.1007/s12928-023-00981-4 |
| format | Article |
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n
= 5 each,
n
= 20 total). In the link-free group, the SB jailing rate of 3-link stents was significantly higher than that of 2-link stents (15.5 ± 5.1% vs. 6.6 ± 1.2%,
p
= 0.009). In the link-connect group, the SB jailing rate of 3-link stents was significantly lower than that of 2-link stents (30.0 ± 4.5% vs. 39.0 ± 2.6%,
p
= 0.009). In the bifurcation segment, the rate of incomplete stent apposition was significantly lower for 3-link stents of the link-connect group than for 2-link stents of the link-connect group (3.3 ± 4.2% vs. 19.0 ± 7.8%,
p
= 0.009). For both stent designs, ellipticity ratio was higher for link-connect group than link-free group. Link location as well as stent cell design greatly impacted stent deformation during the POT-PBED procedure.
Graphical abstract</description><identifier>ISSN: 1868-4300</identifier><identifier>EISSN: 1868-4297</identifier><identifier>DOI: 10.1007/s12928-023-00981-4</identifier><identifier>PMID: 38294663</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Cardiology ; Interventional Radiology ; Medicine ; Medicine & Public Health ; Original Article</subject><ispartof>Cardiovascular intervention and therapeutics, 2024-04, Vol.39 (2), p.137-144</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-b47e0238916e4e5615459bcc7ed0f0adb5790d3490e93351cfc54d9666062dbc3</citedby><cites>FETCH-LOGICAL-c457t-b47e0238916e4e5615459bcc7ed0f0adb5790d3490e93351cfc54d9666062dbc3</cites><orcidid>0000-0002-7815-9789</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12928-023-00981-4$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12928-023-00981-4$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38294663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kume, Teruyoshi</creatorcontrib><creatorcontrib>Nishi, Takeshi</creatorcontrib><creatorcontrib>Murasato, Yoshinobu</creatorcontrib><creatorcontrib>Koto, Satoshi</creatorcontrib><creatorcontrib>Sasahira, Yoshitaka</creatorcontrib><creatorcontrib>Okamoto, Hiroshi</creatorcontrib><creatorcontrib>Yamada, Ryotaro</creatorcontrib><creatorcontrib>Koyama, Terumasa</creatorcontrib><creatorcontrib>Tamada, Tomoko</creatorcontrib><creatorcontrib>Imai, Koichiro</creatorcontrib><creatorcontrib>Neishi, Yoji</creatorcontrib><creatorcontrib>Uemura, Shiro</creatorcontrib><title>Impact of stent strut link location in proximal balloon edge dilation technique for bifurcation percutaneous coronary intervention</title><title>Cardiovascular intervention and therapeutics</title><addtitle>Cardiovasc Interv and Ther</addtitle><addtitle>Cardiovasc Interv Ther</addtitle><description>The single-stent strategy has generally been accepted as the default approach to bifurcation percutaneous coronary intervention. We have proposed the proximal balloon edge dilation (PBED) technique to prevent stent deformation during side branch (SB) dilation. This bench study aimed to evaluate the impact of stent link location and stent design on stent deformation, obstruction by stent struts at a jailed SB ostium, and incomplete stent apposition in the proximal optimization technique (POT)-PBED procedure. A coronary bifurcation model was used. We intentionally set the absence or presence of stent link on the carina (link-free or link-connect) under videoscope observation and compared stent parameters between 3- and 2-link stents (
n
= 5 each,
n
= 20 total). In the link-free group, the SB jailing rate of 3-link stents was significantly higher than that of 2-link stents (15.5 ± 5.1% vs. 6.6 ± 1.2%,
p
= 0.009). In the link-connect group, the SB jailing rate of 3-link stents was significantly lower than that of 2-link stents (30.0 ± 4.5% vs. 39.0 ± 2.6%,
p
= 0.009). In the bifurcation segment, the rate of incomplete stent apposition was significantly lower for 3-link stents of the link-connect group than for 2-link stents of the link-connect group (3.3 ± 4.2% vs. 19.0 ± 7.8%,
p
= 0.009). For both stent designs, ellipticity ratio was higher for link-connect group than link-free group. Link location as well as stent cell design greatly impacted stent deformation during the POT-PBED procedure.
Graphical abstract</description><subject>Cardiology</subject><subject>Interventional Radiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><issn>1868-4300</issn><issn>1868-4297</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><recordid>eNp9UE1P3DAUtFARILp_gAPysZcUfyc-VqilSEhc6NlKnJdtwGtvbacqV355H2TpsT7YT_bMeGYIueDsM2esvSpcWNE1TMiGMdvxRh2RM96ZrlHCth_eZ8nYKdmU8shwCWutkifkVHbCKmPkGXm53e17X2maaKkQK-55qTTM8YmG5Ps6p0jnSPc5_Zl3faBDH0LCOxi3QMc5rIgK_mecfy1Ap5TpME9LPnD3kP1S-whpKdSnnGKfn1GxQv6N_yHkIzme-lBgczjPyY9vXx-uvzd39ze311_uGq90W5tBtYBpO8sNKNCGa6Xt4H0LI5tYPw66tWyUyjKwUmruJ6_VaI0xzIhx8PKcfFp1MQs6LdXt5uIhhNWcwz6Zbrm2AqFihfqcSskwuX3G9PnZceZe63dr_Q4Nubf6nULS5UF_GXYw_qO8l40AuQIKPsUtZPeYlhwx8_9k_wKG0pM2</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Kume, Teruyoshi</creator><creator>Nishi, Takeshi</creator><creator>Murasato, Yoshinobu</creator><creator>Koto, Satoshi</creator><creator>Sasahira, Yoshitaka</creator><creator>Okamoto, Hiroshi</creator><creator>Yamada, Ryotaro</creator><creator>Koyama, Terumasa</creator><creator>Tamada, Tomoko</creator><creator>Imai, Koichiro</creator><creator>Neishi, Yoji</creator><creator>Uemura, Shiro</creator><general>Springer Nature Singapore</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7815-9789</orcidid></search><sort><creationdate>20240401</creationdate><title>Impact of stent strut link location in proximal balloon edge dilation technique for bifurcation percutaneous coronary intervention</title><author>Kume, Teruyoshi ; Nishi, Takeshi ; Murasato, Yoshinobu ; Koto, Satoshi ; Sasahira, Yoshitaka ; Okamoto, Hiroshi ; Yamada, Ryotaro ; Koyama, Terumasa ; Tamada, Tomoko ; Imai, Koichiro ; Neishi, Yoji ; Uemura, Shiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-b47e0238916e4e5615459bcc7ed0f0adb5790d3490e93351cfc54d9666062dbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cardiology</topic><topic>Interventional Radiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kume, Teruyoshi</creatorcontrib><creatorcontrib>Nishi, Takeshi</creatorcontrib><creatorcontrib>Murasato, Yoshinobu</creatorcontrib><creatorcontrib>Koto, Satoshi</creatorcontrib><creatorcontrib>Sasahira, Yoshitaka</creatorcontrib><creatorcontrib>Okamoto, Hiroshi</creatorcontrib><creatorcontrib>Yamada, Ryotaro</creatorcontrib><creatorcontrib>Koyama, Terumasa</creatorcontrib><creatorcontrib>Tamada, Tomoko</creatorcontrib><creatorcontrib>Imai, Koichiro</creatorcontrib><creatorcontrib>Neishi, Yoji</creatorcontrib><creatorcontrib>Uemura, Shiro</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular intervention and therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kume, Teruyoshi</au><au>Nishi, Takeshi</au><au>Murasato, Yoshinobu</au><au>Koto, Satoshi</au><au>Sasahira, Yoshitaka</au><au>Okamoto, Hiroshi</au><au>Yamada, Ryotaro</au><au>Koyama, Terumasa</au><au>Tamada, Tomoko</au><au>Imai, Koichiro</au><au>Neishi, Yoji</au><au>Uemura, Shiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of stent strut link location in proximal balloon edge dilation technique for bifurcation percutaneous coronary intervention</atitle><jtitle>Cardiovascular intervention and therapeutics</jtitle><stitle>Cardiovasc Interv and Ther</stitle><addtitle>Cardiovasc Interv Ther</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>39</volume><issue>2</issue><spage>137</spage><epage>144</epage><pages>137-144</pages><issn>1868-4300</issn><eissn>1868-4297</eissn><abstract>The single-stent strategy has generally been accepted as the default approach to bifurcation percutaneous coronary intervention. We have proposed the proximal balloon edge dilation (PBED) technique to prevent stent deformation during side branch (SB) dilation. This bench study aimed to evaluate the impact of stent link location and stent design on stent deformation, obstruction by stent struts at a jailed SB ostium, and incomplete stent apposition in the proximal optimization technique (POT)-PBED procedure. A coronary bifurcation model was used. We intentionally set the absence or presence of stent link on the carina (link-free or link-connect) under videoscope observation and compared stent parameters between 3- and 2-link stents (
n
= 5 each,
n
= 20 total). In the link-free group, the SB jailing rate of 3-link stents was significantly higher than that of 2-link stents (15.5 ± 5.1% vs. 6.6 ± 1.2%,
p
= 0.009). In the link-connect group, the SB jailing rate of 3-link stents was significantly lower than that of 2-link stents (30.0 ± 4.5% vs. 39.0 ± 2.6%,
p
= 0.009). In the bifurcation segment, the rate of incomplete stent apposition was significantly lower for 3-link stents of the link-connect group than for 2-link stents of the link-connect group (3.3 ± 4.2% vs. 19.0 ± 7.8%,
p
= 0.009). For both stent designs, ellipticity ratio was higher for link-connect group than link-free group. Link location as well as stent cell design greatly impacted stent deformation during the POT-PBED procedure.
Graphical abstract</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><pmid>38294663</pmid><doi>10.1007/s12928-023-00981-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7815-9789</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Cardiovascular intervention and therapeutics, 2024-04, Vol.39 (2), p.137-144 |
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| subjects | Cardiology Interventional Radiology Medicine Medicine & Public Health Original Article |
| title | Impact of stent strut link location in proximal balloon edge dilation technique for bifurcation percutaneous coronary intervention |
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