Intravascular Ultrasound Assessment of Cobalt Chromium Versus Stainless Steel Drug-Eluting Stent Expansion

被引：20

作者：

He, Yong ^{[1
]}

Maehara, Akiko ^{[1
]}

Mintz, Gary S. ^{[1
]}

Bharaj, Harpreet ^{[1
]}

Castellanos, Celia ^{[1
]}

Kesanakurthy, Srinivas ^{[1
]}

Wu, Xiaofan ^{[1
]}

Guo, Ning ^{[1
]}

Choi, So-Yeon ^{[1
]}

Leon, Martin B. ^{[1
]}

Stone, Gregg W. ^{[1
]}

Mehran, Roxana ^{[1
]}

Rabbani, Leroy E. ^{[1
]}

Moses, Jeffrey W. ^{[1
]}

机构：

[1] Columbia Univ, Med Ctr, Cardiovasc Res Fdn, New York Presbyterian Hosp, New York, NY 10027 USA

来源：

AMERICAN JOURNAL OF CARDIOLOGY | 2010年 / 105卷 / 09期

关键词：

CORONARY STENTS; RECOIL; BALLOON; UNDEREXPANSION; IMPLANTATION; ANGIOGRAPHY; DIAMETERS; STENOSIS;

D O I：

10.1016/j.amjcard.2009.12.042

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

It is not clear whether the thin struts and different alloy of a cobalt chromium stent will cause greater acute stent recoil compared to conventional stainless steel stents. We used postintervention intravascular ultrasound (IVUS) examinations to study 99 patients with 116 stented lesions: 61 Xience/Promus stents (cobalt chromium stent group) and 27 Taxus Liberte and 28 Cypher stents (stainless steel stent group). The IVUS images were obtained before and immediately after stent implantation with only the stent-delivery balloon. The ratio of the IVUS-measured to manufacturer-predicted stent diameter and area was the measure of acute stent recoil and expansion. The baseline patient characteristics, lesion morphology, and procedural details were comparable between the 2 groups. The ratio of the IVUS-measured to manufacturer-predicted stent diameter and area was 0.74 versus 0.73 (p = 0.57) and 0.63 versus 0.63 (p = 0.69), respectively, for the cobalt chromium and stainless steel stents. In conclusion, the acute performance of Xience/Promus was similar to that of previous stainless steel stents, and the thinner cobalt chromium metallic platform did not compromise the radial strength of the stent. (C) 2010 Elsevier Inc. All rights reserved. (Am J Cardiol 2010;105:1272-1275)

引用

页码：1272 / 1275

页数：4

共 21 条

[1] Design criteria for the ideal drug-eluting Stent [J].

Ako, Junya ;

Bonneau, Heidi N. ;

Honda, Yasuhiro ;

Fitzgerald, Peter J. .

AMERICAN JOURNAL OF CARDIOLOGY, 2007, 100 (8B) :3M-9M

[2] Stent expansion: a combination of delivery balloon underexpansion and acute stent recoil reduces predicted stent diameter irrespective of reference vessel size [J].

Aziz, Shahid ;

Morris, John L. ;

Perry, Raphael A. ;

Stables, Rodney H. .

HEART, 2007, 93 (12) :1562-1566

[3]

Barragan P, 2000, CATHETER CARDIO INTE, V50, P112, DOI 10.1002/(SICI)1522-726X(200005)50:1<112::AID-CCD25>3.0.CO

[4]

2-X

[5] Mechanisms of residual lumen stenosis after high-pressure stent implantation -: A quantitative coronary angiography and intravascular ultrasound study [J].

Bermejo, J ;

Botas, J ;

García, E ;

Elízaga, J ;

Osende, J ;

Soriano, J ;

Abeytua, M ;

Delcán, JL .

CIRCULATION, 1998, 98 (02) :112-118

[6] In vivo assessment of stent expansion and recoil in normal porcine coronary arteries - Differential outcome by stent design [J].

Carrozza, JP ;

Hosley, SE ;

Cohen, DJ ;

Baim, DS .

CIRCULATION, 1999, 100 (07) :756-760

[7] Intravascular ultrasonic assessment of Stent diameters derived from manufacturer's compliance charts [J].

Costa, JD ;

Mintz, GS ;

Carlier, SG ;

Costa, RA ;

Fujii, K ;

Sano, K ;

Kimura, M ;

Lui, J ;

Weisz, G ;

Moussa, I ;

Dangas, G ;

Mehran, R ;

Lansky, AJ ;

Kreps, EM ;

Collins, M ;

Stone, GW ;

Moses, JW ;

Leon, MB .

AMERICAN JOURNAL OF CARDIOLOGY, 2005, 96 (01) :74-78

[8] Nonrandomized comparison of coronary stenting under intravascular ultrasound guidance of direct stenting without predilation versus conventional predilation with a semicompliant balloon versus predilation with a new scoring balloon [J].

Costa, Jose de Ribamar, Jr. ;

Mintz, Gary S. ;

Carlier, Stephane G. ;

Mehran, Roxana ;

Teirstein, Paul ;

Sano, Koichi ;

Liu, Xuebo ;

Lui, Joanna ;

Na, Yingbo ;

Castellanos, Celia ;

Biro, Sinan ;

Dani, Lockeshi ;

Rinker, Jason ;

Moussa, Issam ;

Dangas, George ;

Lansky, Alexandra J. ;

Kreps, Edward M. ;

Collins, Michael ;

Stone, Gregg W. ;

Moses, Jeffrey W. ;

Leon, Martin B. .

AMERICAN JOURNAL OF CARDIOLOGY, 2007, 100 (05) :812-817

[9] Intravascular ultrasound assessment of drug-eluting stent expansion [J].

Costa, Jose de Ribamar, Jr. ;

Mintz, Gary S. ;

Carlier, Stephane G. ;

Fujii, Kenichi ;

Sano, Koichi ;

Kimura, Masashi ;

Tanaka, Kaoru ;

Costa, Ricardo A. ;

Lui, Joanna ;

Na, Yingbo ;

Castellanos, Celia ;

Biro, Sinan ;

Moussa, Issam ;

Stone, Gregg W. ;

Moses, Jeffrey W. ;

Leon, Martin B. .

AMERICAN HEART JOURNAL, 2007, 153 (02) :297-303

[10] Mechanical properties of coronary stents determined by using finite element analysis [J].

Etave, F ;

Finet, G ;

Boivin, M ;

Boyer, JC ;

Rioufol, G ;

Thollet, G .

JOURNAL OF BIOMECHANICS, 2001, 34 (08) :1065-1075

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