Perfection of precise ostial stent placement
Kwan, T.W.; James, D.; Huang, Y.; Liou, M.; Wong, S.; Coppola, J.
Journal of Invasive Cardiology 24(7): 354-358
2012
ISSN/ISBN: 1557-2501 PMID: 22781478 Document Number: 658959
Ostial lesions, including aorta-ostial lesions and Medina 001 bifurcation lesions, are known to create difficulty in precise stent placement. There are many techniques used to help in precise ostial stent placement; these include using multiple angiographic views to assist in placement, the use of the Ostial Pro device, the aorta flowing wire technique, Szabo (anchor-wire) techniques, the T-stent and small protrusion (TAP) technique, the cross-over 1-stent technique, and new dedicated ostial stents. In this review, we summarize these different techniques and show that there is no universal technique that allows for perfect ostial stent placement.