Bifurcation Stenting
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Bifurcation Stenting
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Author : Ron Waksman
language : en
Publisher: John Wiley & Sons
Release Date : 2012-03-22
Bifurcation Stenting written by Ron Waksman and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-03-22 with Medical categories.
Here is expert guidance on one of the most vexing clinical challenges faced by interventional cardiologists. Written by global thought leaders in the area and edited by two internationally-recognized pioneers in interventional cardiology, Bifurcation Stenting covers all techniques, imaging modalities, and devices in current use, including VH-IVUS and OCT. It includes practical tips/tricks from leading experts and a section of challenging cases to further illustrate the material and help readers better understand the treatment of bifurcation lesions.
Tips And Tricks In Interventional Therapy Of Coronary Bifurcation Lesions
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Author : Issam Moussa
language : en
Publisher: CRC Press
Release Date : 2010-05-15
Tips And Tricks In Interventional Therapy Of Coronary Bifurcation Lesions written by Issam Moussa and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010-05-15 with Medical categories.
There is much discussion in the field of interventional cardiovascular therapy as to what is the best approach to treating coronary bifurcation lesions. Many advocate for provisional stenting, stenting of the main vessel with subsequent stenting of the side branch as needed, while some advocate for elective double stenting of both branches. This bo
Dedicated Bifurcation Stents
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Author : Ajith Ananthakrishna Pillai
language : en
Publisher: LAP Lambert Academic Publishing
Release Date : 2013
Dedicated Bifurcation Stents written by Ajith Ananthakrishna Pillai and has been published by LAP Lambert Academic Publishing this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013 with categories.
Cardiovascular disease continues to be a giant killer across the globe with the prevalence of coronary artery disease remaining unabated.Interventional cardiology has grown leaps and bounds in the last 20 years with revolutionary advancements in the bio-engineering and technical expertise, thus throwing up enduring challenges to interventionists to keep themselves updated. Dedicated bifurcation stent is one such innovative vignette which has caught the attention of many interventional cardiologists aspiring to be leaders in this field. The concept is unique and the technique is imposing. The growing numbers of different designs under research is vindictive of its future. More trial data are required and more importantly the long learning curve in the real life practice would pose a delay before they become the default treatment option in true bifurcation lesions. This book depicts the current concepts of bifurcation stenting, the design and techniques of different dedicated bifurcation stents including the drug eluting variants. We sincerely hope this comprehensive review would help to update the interventional cardiologists with special interest in bifurcation stenting.
Coronary Bifurcation Stenting
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Author :
language : en
Publisher:
Release Date : 2010
Coronary Bifurcation Stenting written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2010 with categories.
Computational Modeling Of Coronary Bifurcation Stenting Analysis Of Biomechanical Impact Between Different Stenting Strategy
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Author : 吳承慶
language : en
Publisher:
Release Date : 2018
Computational Modeling Of Coronary Bifurcation Stenting Analysis Of Biomechanical Impact Between Different Stenting Strategy written by 吳承慶 and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
Aprocedural Algorithm To Predict Provisional Stenting Feasibility In Bifurcation Lesions The Pps Approach
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Author : Sébastien Ninet
language : en
Publisher:
Release Date : 2012
Aprocedural Algorithm To Predict Provisional Stenting Feasibility In Bifurcation Lesions The Pps Approach written by Sébastien Ninet and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012 with categories.
Objectives: We propose a procedural approach (PPS: predictive provisional stenting) to predict the success of provisional stenting (PS) in coronary bifurcation lesions. Background: The strategy of stenting the main vessel (MV) with side branch (SB) PS is the current favored approach for percutaneous coronary interventions of bifurcation lesions. However, angiographic results of SB ballooning in PS are quite variable and may require switch of 1-stent into 2-stents strategy which can be technically more difficult to perform once the MV stent has been implanted. Methods: PPS approach is based on the pre-stenting angiographic analysis of the SB ostium response both the MV pre-dilatation using a balloon matched to the size of the MV stent and to additional ballooning of the SB if its residual stenosis is ≥50%. This algorithm was used in 50 bifurcations lesions. Results: Final angiographic success was 100% for both the MV and the SB. Based on the PPS algorithm, PS was converted before MV stenting into 2-stents strategy in 7 cases (14%) due to SB ostium significant residual stenosis after MV balloon not corrected by SB ballooning. PS was successful in ail the remaining 43 lesions (86%) in which it was predicted to be successful by PPS. At 12-months follow-up, no major cardiovascular adverse event including death, myocardial infarction, stroke, clinically-indicated lesion vessel revascularization occurred in any patient (0%). Conclusion: Our approach allows to determine which bifurcation lesions can be successfully treated by PS and confirms that PS can be successful in a majority of bifurcation lesions.
Bifurcation Stenting For Malignant Hilar Biliary Obstruction
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Author : Farbod Sedaghati
language : en
Publisher:
Release Date : 2018
Bifurcation Stenting For Malignant Hilar Biliary Obstruction written by Farbod Sedaghati and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018 with categories.
Hilar cholangiocarcinoma is one of the most common disorders of biliary obstruction. Various stent configurations have been used for the palliative treatments of the biliary bile duct, including dedicated Y-shaped (DYS) stent and two-piece stent forming a Y-shape, also referred to as a separate Y-shape (SYS) stent. The mechanical characterizations of the bifurcating stents are scare. The aim of this study is to characterize the mechanical performance of both DYS and SYS self-expanding Nitinol stents using finite element method for better understanding of the biomechanical environment changes on the bile duct and its clinical implications. The crimping and expansion of both stents in the bile duct was simulated. The hyperelastic constitutive model of porcine bile ducts was constructed from tensile tests. The acute performance of both stents was quantified and compared in terms of the lumen gain, wall deformation and stress. Results showed the SYS stent provided better lumen gain, but larger stress and strain on the bile duct wall, compared to the DYS. A larger wall stress is generally associated with tissue remodeling and thus chronic complications. Also, the efficacy of the two Y-stenting methods was compared with respect to plastic strain distribution, stent migration, and delivery challenges. This work might facilitate the pre-surgery planning and new stent design.
Comparative Analysis Of Sequential Proximal Optimizing Technique Versus Kissing Balloon Inflation Technique In Provisional Bifurcation Stenting
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Author : François Derimay
language : en
Publisher:
Release Date : 2015
Comparative Analysis Of Sequential Proximal Optimizing Technique Versus Kissing Balloon Inflation Technique In Provisional Bifurcation Stenting written by François Derimay and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015 with categories.
The present study used a fractal bifurcation bench model to compare 6 optimization sequences for coronary bifurcation provisional stenting, including one novel sequence without kissing balloon inflation (KBI), comprising initial proximal optimizing technique (POT) + sidebranch inflation (SBI) + final POT, and called “re-POT”. In provisional bifurcation stenting, KBI fails to improve the rate of major adverse cardiac events. Proximal geometric deformation increases the rate of in-stent restenosis and target lesion revascularization. A bifurcation bench model was used to compare KBI alone, KBI after POT, KBI with asymmetric inflation pressure after POT, and 2 sequences without KBI: initial POT plus SBI, and initial POT plus SBI with final POT (called “re-POT”). For each protocol, 5 stents were tested, using 2 different drug-eluting stent designs: i.e., a total 60 tests. Compared to the classic KBI-only sequence and those associating POT to modified KBI, the re-POT sequence gave significantly (p
Current Status Of Carotid Bifurcation Angioplasty And Stenting
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Author : Frank J. Veith
language : en
Publisher: CRC Press
Release Date : 2001-01-23
Current Status Of Carotid Bifurcation Angioplasty And Stenting written by Frank J. Veith and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2001-01-23 with Medical categories.
A truly novel reference unlike any other! Recognizing the need to dispel the controversy and unsubstantiated claims surrounding many new modalities for treating vascular lesions, this up-to-date and useful reference resolves the most important issues and concerns related to carotid bifurcation angioplasty and stenting (CBAS). Compiles reliable information from a specially convened international conference of 19 recognized experts-with answers of consensus and near consensus on 85% of the key questions about the developing technique of CBAS! Providing valuable guidance on issues of safety and efficacy, the Current Status of Carotid Bifurcation Angioplasty and Stenting covers the differences and outcomes among interventional radiology and cardiology, vascular surgery, and neurosurgery identifies high-risk patients deriving the most benefit from new endovascular treatments critically reviews the state of the art in current applications and procedures advocates the need for, and advantages of, neurorescue skills and cerebral protection in treatment compares the benefits and limitations of carotid endarterectomy with those of carotid stenting presents recent results from actual cases at high-volume centers propounds historical benchmarks, the current status, and future considerations and goals of CBAS and more! Containing over 400 literature references, photographs, drawings, and tables, the Current Status of Carotid Bifurcation Angioplasty and Stenting definitively assists vascular surgeons, interventional radiologists, interventional cardiologists, neurologists and neurosurgeons, internists, primary care physicians, and medical school students in these disciplines.
Practical Manual Of Interventional Cardiology
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Author : Annapoorna Kini
language : en
Publisher: Springer
Release Date : 2014-11-26
Practical Manual Of Interventional Cardiology written by Annapoorna Kini and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-11-26 with Medical categories.
This practical handbook is based on an internal working manual developed by staff and fellows at Mount Sinai Heart Cardiovascular Catheterization Laboratory, renowned for its high-volume and low complication complex coronary procedures. The Practical Handbook of Interventional Cardiology captures the knowledge and methodological know-how from leaders in interventional cardiology, it intends to guide users in a stepwise, methodical and practical approach through various cardiac interventional procedures in order to achieve maximum patient safety and improved outcomes. From patient selection, preoperative work-up, setting up equipment to step-by-step illustrations of various procedural details and troubleshooting, this handbook captures all the details necessary to perform the simplest to the most complex cardiac interventions. The book is designed for cardiologists and trainees who desire an efficient way to review the steps of various cardiac interventional procedures and a quick, reliable reference for everyday use.
