Colombo A, Hall P, Thomas J, Almagor Y, Finci L
Centro Cuore Columbus, Milan, Italy.
Cathet Cardiovasc Diagn. 1992 Apr;25(4):304-8. doi: 10.1002/ccd.1810250410.
We developed an alternative method to stent suitable lesions located in anatomical settings considered to be too complex for regular Palmaz-Schatz stent placement. This method consists of using a disarticulated (one-half) Palmaz-Schatz stent. Eight patients underwent stenting utilizing this method. The left anterior descending was stented in five patients, the right coronary artery in one patient, the proximal and mid shaft of a vein graft in one patient, and a protected left main coronary artery in one patient. In all patients the stents were placed in addition to full stents. In four patients, 1 1/2 stents were placed; two patients had 2 1/2 stents; one patient had 3 1/2 stents and the last patient had a total of 5 stents placed (1 full stent and 8 half stents). One patient had 8 disarticulated stents placed. All half stents prepared for delivery were successfully deployed to the pre-designated angiographic site without complication.
我们开发了一种替代方法，用于对位于解剖结构中、被认为对于常规置入帕尔马兹-沙茨支架而言过于复杂的合适病变进行支架置入。该方法包括使用拆开的（一半的）帕尔马兹-沙茨支架。8例患者采用此方法进行了支架置入。5例患者对左前降支进行了支架置入，1例患者对右冠状动脉进行了支架置入，1例患者对静脉移植物的近端和中段进行了支架置入，1例患者对受保护的左主冠状动脉进行了支架置入。在所有患者中，除了完整的支架外还置入了这些支架。4例患者置入了1.5个支架；2例患者置入了2.5个支架；1例患者置入了3.5个支架；最后1例患者总共置入了5个支架（1个完整支架和8个半支架）。1例患者置入了8个拆开的支架。所有准备输送的半支架均成功部署到预先指定的血管造影部位，无并发症发生。
