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Concept of the homemade coronary stent: Experimental results and initial clinical experience

✍ Scribed by De Scheerder, Ivan K. ;Wang, Kai ;Kerdsinchai, Pitsanu ;Verbeken, Eric ;Desmet, Walter ;Dens, Jo ;Wilczek, Krzysztof ;Humbeeck, Jan Van ;Piessens, Jan H.

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
612 KB
Volume
39
Category
Article
ISSN
0098-6569

No coin nor oath required. For personal study only.

✦ Synopsis

To defray the escalating cost of coronary stenting, we handmade a balloon expandable coil stent with stainless steel wire. Preliminary comparison with the Palmaz-Schatz stent showed that, when implanted in porcine iliac arteries, there was no difference in immediate angiographic results or in the degree of foreign body reaction at 6 wk. Subsequently, a total of 73 stents were implanted in 52 patients, either as a bailout device (54%) or for suboptimal angiographic results (46%).

All but two implantations were successful. The postprocedural regimen consisted of heparin 1,000 IUlhr, aspirin 250 mg daily, and ticlopidine 500 mg daily. In-hospital complications were limited to two groin hematomas, one necessitating blood transfusion. Importantly, stent thrombosis was not observed. While 6-rno follow-up is pending, we already conclude that a balloon expandable coil stent can be handmade easily at low cost and implanted safely in patients. o 1996 Wiiey-Liss, inc.

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