Abstract:Objective To evaluate the effect of StentBoost Subtract in guiding optimized percutaneous coronary intervention in patients with bifurcation lesions. Methods Between January 2016 and June 2016, clinical data on a total of 37 consecutive patients was collected .SBS was performed using AlluraXper FD10 or FD20.The quality of the images was divided into three grades according to visualization of stent struts and guidewire: optimal(good imaging), suboptimal visualization(not good enough, but does not affect judgment ), and poor visualization(fuzzy imaging that affects judgment).Results A total of 196 images were collected and analyzed in this study. 75.6% of the patients were evaluated as of optimal visualization of stent struts and guidewire, 21.6% as of suboptimal visualization and 2.7% as of poor visualization.Conclusions As a simple and quick means of imaging , StentBoost Subtract can be used to guide optimized PCI in bifurcation lesions step by step via enhancing visualization of stents and guidewire, such as accurate stent positioning, post-dilation, rewiring of the guidewire and kissing balloon technology.
Steigen T K, Maeng M, Wiseth R, et al. Randomized study on simple versus complex stenting of coronary artery bifurcation lesions: the Nordic bifurcation study[J]. Circulation,2006,114(18):1955-1961.
[2]
Roh J H, Kim Y H. Percutaneous treatment of left main and non-left main bifurcation coronary lesions using drug-eluting stents[J]. Expert Rev Cardiovasc Ther,2016,14(2):229-243.
[3]
Jokhi P, Curzen N. Percutaneous coronary intervention of ostiallesions[J]. Eurointervention, 2009, 5(4):511-514.
[4]
Dishmon D A, Elhaddi A, Packard K, et al. High incidence of inaccurate stent placement in the treatment of coronary aorto-ostial disease[J]. J Invasive Cardiol, 2011, 23(8):322-326.
[5]
Agostoni P, Verheye S. Bifurcation stenting with a dedicated biolimus-eluting stent: X-ray visual enhancement of the final angiographic result with”StentBoost Subtract”[J]. Catheter Cardiovasc Interv,2007,70(2):233-236.
[6]
Mishell J M, Vakharia K T, Ports T A, et al. Determination of adequate coronary stent expansion using StentBoost, a novel fluoroscopic image processing technique[J]. Catheter Cardiovasc Interv,2006, 69(1):84-93.
[7]
Silva J D, Carrillo X, Salvatella N, et al. The utility of stent enhancement to guide percutaneous coronary intervention for bifurcation lesions[J].EuroIntervention,2013,9(8):968-974.
[8]
Pan M,Suárez L J,Medina A,et al.Drug-eluting stents for the treatment of bifurcation lesions:a randomized comparison between paclitaxel and sirolimus stents[J]. Am Heart J, 2007,153(1): 1-7.
[9]
Guérin P,Pilet P,Finet G,et al. Drug-eluting stents in bifurcations: bench study of strut deformationand coating lesions[J].Circ Cardiovasc Interv,2010,3(2):120-126.
[10]
Sarno G, Garg S, Gomez-Lara J, et al. Intravascular ultrasound radiofrequency analysis after optical coronary stenting with initial quantitative coronary angiography guidance: an ATHEROREMO sub-study[J].Euro Intervention,2011,6(8):977-984.
[11]
Jin Z G, Yang S L, Jing L M, et al. Impact of StentBoost subtract imaging on patient radiation exposure during percutaneous coronary intervention[J]. Int J Cardiovasc Imaging, 2013,29(6):1207-1213.
[12]
Zhang J, Duan Y, Jin Z, et al. Stent boost subtract imaging for the assessment of optimal stent deployment in coronary ostial lesion intervention: comparison with intravascular ultrasound[J].Int Heart J,2015,56(1):37-42.