Burzotta Francesco, Mortier Peter, Trani Carlo
Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
EuroIntervention. 2014 May;10(1):124-32. doi: 10.4244/EIJV10I1A19.
We aimed to review the technical characteristics of DES platforms which have been documented to influence bifurcation stenting procedures conducted according to the provisional approach.
DES platforms have remarkable technical differences (side cell diameter, shape, deformability, etc.). We reviewed the literature data and performed original virtual bench tests to highlight the characteristics of DES platforms which influence the following phases of bifurcation stenting conducted according to the provisional approach: stent implantation in the main vessel across side-branch take-off ("crossover" stenting), proximal optimisation technique, rewiring and kissing balloon inflation. Available data show that the response of different DES platforms to the various procedural steps of provisional stenting is different.
When treating bifurcated lesions according to the provisional stenting approach, the search for an ideal matching between individual bifurcated anatomy and DES selection should take into account an articulated series of technical parameters.
我们旨在回顾已被证明会影响根据临时方法进行的分叉支架置入术的药物洗脱支架（DES）平台的技术特征。
DES平台存在显著的技术差异（侧孔直径、形状、可变形性等）。我们回顾了文献数据并进行了原始的虚拟实验台测试，以突出DES平台的特征，这些特征会影响根据临时方法进行的分叉支架置入术的以下阶段：在主血管横跨分支开口处植入支架（“交叉”支架置入）、近端优化技术、重新布线和亲吻球囊扩张。现有数据表明，不同的DES平台对临时支架置入术各个操作步骤的反应不同。
根据临时支架置入术治疗分叉病变时，在个体分叉解剖结构与DES选择之间寻找理想匹配时，应考虑一系列明确的技术参数。
