EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty
Abstract Introduction and objectives: To describe the efficacy of the BIOSS LIM C dedicated sirolimus-eluting stent to treat coronary bifurcation lesions, and impact on the bifurcation angle and carina through quantitative coronary angiography. Methods: Observational prospective study including 124...
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| Format: | Article |
| Language: | English |
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2022-11-01
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| Series: | REC: Interventional Cardiology (English Ed.) |
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| Online Access: | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=941 |
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| author | Bruno García del Blanco Josep Gómez Lara Juan Carlos Rama Merchán Luis Renier Goncalves-Ramírez Imanol Otaegui Irurueta Eduard Bosch Peligero Julio Carballo Garrido Jorge Palazuelos Molinero Juan Antonio Bullones Ramírez Joan Casanova Sandoval José Ramón Rumoroso Cuevas Germán Calle Pérez Eduard Fernández Nofrerías María Ángeles Carmona Ramírez Armando Pérez de Prado |
| author_facet | Bruno García del Blanco Josep Gómez Lara Juan Carlos Rama Merchán Luis Renier Goncalves-Ramírez Imanol Otaegui Irurueta Eduard Bosch Peligero Julio Carballo Garrido Jorge Palazuelos Molinero Juan Antonio Bullones Ramírez Joan Casanova Sandoval José Ramón Rumoroso Cuevas Germán Calle Pérez Eduard Fernández Nofrerías María Ángeles Carmona Ramírez Armando Pérez de Prado |
| author_sort | Bruno García del Blanco |
| collection | DOAJ |
| description | Abstract Introduction and objectives: To describe the efficacy of the BIOSS LIM C dedicated sirolimus-eluting stent to treat coronary bifurcation lesions, and impact on the bifurcation angle and carina through quantitative coronary angiography. Methods: Observational prospective study including 124 patients with bifurcation lesions treated with a BIOSS LIM C dedicated sirolimus-eluting stent excluding restenotic lesions and those without main vessel involvement. Results: The stent was successfully deployed in 121 patients (97.6%) while in 18 (14.5%) double stenting was used. The quantitative coronary analysis has shown proper stent expansion with a mean residual stenosis of 18% in the proximal segment, nearly 0% in the distal segment, and 21% in the side branch. The angiographic results of double stenting showed higher mean diameters (2.12 ± 0.30 vs 1.60 ± 0.42; P < .001), and lower residual stenosis (18.36 ± 9.94 vs 28.49 ± 14.19%, P < .01). Distortion imposed on the bifurcation angulation was minimal with an absolute reduction of 5 degrees (52.8 ± 18.4 vs 47.5 ± 17.2; P = .001). Conclusions: The dedicated BIOSS LIM C stent has had a very high success rate to treat coronary bifurcation lesions. Angiographic results are good with a remarkably low impact on the native bifurcation angulation, and excellent results from double stenting. We think this can be a very useful device to treat coronary bifurcation lesions with the advantage of easing out the bailout deployment of a second stent into the side branch. |
| first_indexed | 2024-04-12T11:17:58Z |
| format | Article |
| id | doaj.art-83b07516819943a0b486323b09ffa3e7 |
| institution | Directory Open Access Journal |
| issn | 2604-7322 |
| language | English |
| last_indexed | 2024-04-12T11:17:58Z |
| publishDate | 2022-11-01 |
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| record_format | Article |
| series | REC: Interventional Cardiology (English Ed.) |
| spelling | doaj.art-83b07516819943a0b486323b09ffa3e72022-12-22T03:35:27ZengPermanyerREC: Interventional Cardiology (English Ed.)2604-73222022-11-014429430310.24875/RECICE.M22000314EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplastyBruno García del Blanco0Josep Gómez Lara1Juan Carlos Rama Merchán2Luis Renier Goncalves-Ramírez3Imanol Otaegui Irurueta4Eduard Bosch Peligero5Julio Carballo Garrido6Jorge Palazuelos Molinero7Juan Antonio Bullones Ramírez8Joan Casanova Sandoval9José Ramón Rumoroso Cuevas10Germán Calle Pérez11Eduard Fernández Nofrerías12María Ángeles Carmona Ramírez13Armando Pérez de Prado14Fundación EPIC, León, Spain. Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari Vall d'Hebrón, Barcelona, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari de Bellvitge, Hospitalet de Llobregat, Barcelona, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital de Mérida, Mérida, Badajoz, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de León, León, SpainFundación EPIC, León, Spain. Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari Vall d'Hebrón, Barcelona, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Parc Taulí, Sabadell, Barcelona, SpainUnidad de Hemodinámica, Servicio de Cardiología, Centro Médico Teknon, Barcelona, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Central de la Defensa Gómez-Ulla, Madrid, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Regional de Málaga, Málaga, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari Arnau de Vilanova, Lleida, SpainFundación EPIC, León, Spain. Unidad de Hemodinámica, Servicio de Cardiología, Hospital de Galdakao-Usansolo, Galdakao, Bizkaia, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Puerta del Mar, Cádiz, SpainUnidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, SpainFundación EPIC, León, Spain. Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitari Vall d'Hebrón, Barcelona, SpainFundación EPIC, León, Spain. Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario de León, León, SpainAbstract Introduction and objectives: To describe the efficacy of the BIOSS LIM C dedicated sirolimus-eluting stent to treat coronary bifurcation lesions, and impact on the bifurcation angle and carina through quantitative coronary angiography. Methods: Observational prospective study including 124 patients with bifurcation lesions treated with a BIOSS LIM C dedicated sirolimus-eluting stent excluding restenotic lesions and those without main vessel involvement. Results: The stent was successfully deployed in 121 patients (97.6%) while in 18 (14.5%) double stenting was used. The quantitative coronary analysis has shown proper stent expansion with a mean residual stenosis of 18% in the proximal segment, nearly 0% in the distal segment, and 21% in the side branch. The angiographic results of double stenting showed higher mean diameters (2.12 ± 0.30 vs 1.60 ± 0.42; P < .001), and lower residual stenosis (18.36 ± 9.94 vs 28.49 ± 14.19%, P < .01). Distortion imposed on the bifurcation angulation was minimal with an absolute reduction of 5 degrees (52.8 ± 18.4 vs 47.5 ± 17.2; P = .001). Conclusions: The dedicated BIOSS LIM C stent has had a very high success rate to treat coronary bifurcation lesions. Angiographic results are good with a remarkably low impact on the native bifurcation angulation, and excellent results from double stenting. We think this can be a very useful device to treat coronary bifurcation lesions with the advantage of easing out the bailout deployment of a second stent into the side branch.https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=941Dedicated stent Bifurcation lesion BIOSS LIM C sirolimus-eluting stent |
| spellingShingle | Bruno García del Blanco Josep Gómez Lara Juan Carlos Rama Merchán Luis Renier Goncalves-Ramírez Imanol Otaegui Irurueta Eduard Bosch Peligero Julio Carballo Garrido Jorge Palazuelos Molinero Juan Antonio Bullones Ramírez Joan Casanova Sandoval José Ramón Rumoroso Cuevas Germán Calle Pérez Eduard Fernández Nofrerías María Ángeles Carmona Ramírez Armando Pérez de Prado EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty REC: Interventional Cardiology (English Ed.) Dedicated stent Bifurcation lesion BIOSS LIM C sirolimus-eluting stent |
| title | EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty |
| title_full | EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty |
| title_fullStr | EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty |
| title_full_unstemmed | EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty |
| title_short | EPIC03-BIOSS observational prospective study. Performance analysis of the BIOSS LIM C dedicated stent in coronary bifurcation lesion angioplasty |
| title_sort | epic03 bioss observational prospective study performance analysis of the bioss lim c dedicated stent in coronary bifurcation lesion angioplasty |
| topic | Dedicated stent Bifurcation lesion BIOSS LIM C sirolimus-eluting stent |
| url | https://recintervcardiol.org/en/index.php?option=com_content&view=article&id=941 |
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