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Optimising Stent Deployment in Contemporary Practice
Author(s): Ashok Seth , Sajal Gupta , Vivudh Pratap Singh , et al Added: 3 years ago
In 1995, stent implantation became the second revolution in interventional cardiology when Colombo et al. demonstrated that intravascular ultrasound (IVUS)-guided post-dilatation of stents to achieve optimal expansion and larger lumens led to reduced restenosis and stent thrombosis (ST).1 This ‘bigger is better’ hypothesis became the technical cornerstone of all stent implantation in the bare… View more

Electrophysiology & Arrhythmia

Intervention
Coronary artery stenting has evolved substantially and the performance (and particularly the deliverability) of coronary stents has improved such that they are now the primary mode of revascularisation for almost all PCIs. The new Svelte™ stent-on-a-wire (SOAW) delivery system represents one of the first substantive innovations in stent delivery systems (SDS) in more than a decade. Using a… View more
Author(s): Angela Hoye , Scot Garg Added: 3 years ago
Coronary artery bifurcations are at an increased risk of the development of coronary atherosclerosis because of turbulent flow and low shear stress. Bifurcation lesions account for between 8% and 22% of all percutaneous coronary interventions (PCI) and have long posed a problem for interventional cardiologists. Published data show bifurcation lesions treated using bare metal stents (BMS) have… View more

Intervention
Annular Rupture During TAVI
Author(s): JJ Coughlan , Thomas J Kiernan , Darren Mylotte , et al Added: 3 years ago
Transcatheter aortic valve implantation (TAVI) has emerged as an alternative treatment for symptomatic severe aortic stenosis in patients deemed to be at high operative risk for conventional surgical aortic valve replacement (SAVR). In these patients, TAVI has lower all-cause mortality than SAVR1 and recent data also suggest equipoise between these therapies in intermediate-risk patients.2–5… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Foreword

Article

Author(s): Renu Virmani Added: 3 years ago
I am pleased to introduce Interventional Cardiology – Volume 6, Issue 2, the contents of which are varied and address issues ranging from bifurcation stenting to overcoming the challenges of transcatheter aortic valve implantation. These procedures are a few of the challenges that still need to be overcome since the introduction of drug-eluting stents. I believe, as emphasised in the article by… View more

Intervention
Author(s): Tim A Fischell Added: 3 years ago
Coronary artery stenting has evolved substantially since the first use of coronary stenting as an adjunct to balloon angioplasty in the early 1990s. The performance (and particularly the deliverability) of coronary stents has improved such that coronary stenting is now the primary mode of revascularisation for percutaneous coronary interventions in more than 95% of cases. Although stent delivery… View more

Intervention
Author(s): Nicolas Foin , Eduardo Alegria-Barrero , Ryo Torii , et al Added: 3 years ago
Drug-eluting stents (DESs) have contributed to a significant lowering of the incidence of restenosis and target vessel revascularisation (TVR) in bifurcations.1–4 A randomised study of bifurcation lesions using sirolimus-eluting stents revealed restenosis rates of only 4 % in the main branch (MB) and a TVR rate as low as 8.2 % at six-month follow-up,2 a marked improvement over that in historical… View more

Prevention & Chronic Conditions
Author(s): Dominic J Allocco , Mary V Jacoski , Barbara Huibregtse , et al Added: 3 years ago
Advances in drug-eluting stent technology have continued to improve clinical outcomes for patients undergoing percutaneous coronary intervention (PCI). The development of the platinum– chromium (PtCr) alloy and Element™ stent architecture (or platform) is the result of more than eight years of research and development by Boston Scientific Corporation (BSC; Natick, MA, US) and builds on a pedigree… View more

Prevention & Chronic Conditions
Author(s): John Rawlins , Jehangir Din , Suneel Talwar , et al Added: 3 years ago
A bifurcation lesion within the coronary arterial circulation is defined as a stenosis occurring at, or adjacent to, a significant division of a major epicardial coronary artery.1 Bifurcation lesions account for 1–20% of all percutaneous coronary interventions (PCIs), and treatment remain technically challenging despite advances in PCI techniques and third-generation drug-eluting stent (DES)… View more

Prevention & Chronic Conditions
Author(s): Zach George Added: 3 years ago

Heart Failure

MI/ACS