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StentEnhancer

StentEnhancer

StentEnhancer

Product catalog summary
Introduction
In patients undergoing percutaneous coronary interventions (PCI), intracoronary stents significantly improve procedural success and clinical outcomes. Despite advancements in stent techniques, complications such as stent thrombosis and in-stent restenosis remain concerns. Incomplete stent expansion is a known risk factor for these complications, and while technologies like IntraVascular Ultrasound and Optical Coherence Tomography can assess stent apposition, they are not universally used in all catheterization labs.
StentEnhancer Technique
The StentEnhancer is a novel technique that enhances the view of a deployed stent on a fluoroscopic X-ray image, allowing for quick identification of under-expansion. The process involves acquiring a cardiac record run with the balloon and marker dots in place, which the program uses to automatically detect and enhance the stented region.
Benefits in Clinical Practice
  • Quick Assessment: StentEnhancer provides an enhanced view of the stent within seconds, facilitating the identification of under-expansion.
  • Bifurcation Stenting: It allows physicians to easily review stent placement towards the ostium of bifurcations.
  • Adjacent Stenting: When multiple stents are placed adjacently, StentEnhancer helps in assessing correct apposition and overlap.
Conclusion
StentEnhancer offers an improved view of deployed stents, leading to better medium-term angiographic and clinical outcomes. It also aids in the appropriate rewiring of side branches during bifurcation stenting.
References
The document cites several studies supporting the benefits of stent enhancement techniques in improving clinical outcomes.
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Catalog excerpts

StentEnhancer-1

Enhanced visualization

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StentEnhancer-2

An enhanced view of the deployed stent In patients undergoing percutaneous coronary interventions (PCI), the use of intracoronary stents results in a marked increase in acute procedural success that translates into improved clinical outcomes [1,2]. The techniques and implantation techniques for stents have improved over the last years, however there are still acute (e.g. stent thrombosis) and long-term (e.g. in stent restenosis) complications. Several studies have identified incomplete stent expansion as a risk factor for complications [3]. IntraVascular Ultrasound and Optical Coherence Tomography...

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StentEnhancer-3

Benefits in clinical practice QUICK ASSESSMENT OF UNDER EXPANDED STENT Within a couple of seconds StentEnhancer shows an enhanced view of the stent. Under expansion can easily be identified. Additionally in case of bifurcation stenting the physician can easily review if the stents are placed ideally towards the ostium of the bifurcation. ASSESSMENT OF ADJACENT STENTING When multiple stent are placed adjacently in a vessel, StentEnhancer shows the stents side by side and also correct apposition in case of overlap of stents can be identified.

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StentEnhancer-4

StentEnhancer provides an improved view of the deployed stent within seconds. It has been demonstrated previously using similar enhancement techniques that routine use leads to better medium-term angiographic and clinical outcomes [4]. Furthermore enhancement can assist in appropriate rewiring of side branches in bifurcation stenting [5]. [1] Fischman DL, Leon MB, Goldberg S, for the stent restenosis study investigators. A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. NEJM 1994; [2] Abizaid AS, Mintz GS, Leon MB. Long-term...

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Archived catalogs

  1. LAA

    6  Pages

  2. MR 4D Flow

    6  Pages

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