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Int J Cardiovasc Intervent. 1999;2(4):237-240. doi: 10.1080/acc.2.4.237.240.

Initial and long-term results with the CrossFlex stent--data from a national registry.

International journal of cardiovascular interventions

C Lotan, A Bakst, Y Rozenman, H Miller, R Beyar, A Pardes, I Herz, I Tamari, O Ayzenberg, R Iliah, B Peled, A Hendler, S Banai

Affiliations

  1. The Israeli Working Group, for Interventional Cardiology.

PMID: 12623574 DOI: 10.1080/acc.2.4.237.240

Abstract

The Cordis CrossFlex trade mark stent is a balloon expandable helical coil made of stainless steel. OBJECTIVE: To assess the short- and long-term safety and efficacy of this stent by conducting a multi-center national registry. METHODS: One hundred and sixteen stents were implanted in 109 patients (mean age 59 3 10 years, 95 males). The lesions were classified as type B2 or C in 56 patients (51%). Successful deployment was achieved in 103 patients (94.5%). Failure was due to damage to the stent (two patients) or inability to reach the lesion (four patients). High-pressure deployment (>14 atm) was used in 68% of cases. RESULTS: Edge dissections occurred in nine patients after high-pressure deployment and necessitated implantation of a second stent. One patient with a large acute myocardial infarction died during hospitalization. Side branch occlusion occurred in five patients (4.6%). Subacute thrombosis occurred in two patients (1.8%) during the first four weeks. During a six-month follow-up period, 18 patients (16.5%) were rehospitalized with recurrent angina. Fifteen patients had coronary angiography and 13 (12.1%) needed additional target lesion revascularization (TLR). Twelve patients required a second PTCA for in-stent restenosis, and one needed a coronary artery bypass graft operation. CONCLUSIONS: The CrossFlex coronary stent can successfully be used in complex coronary lesions, with few short-term complications and a low TLR rate. Operators should be aware of the possibility of edge dissection during high-pressure implantation.

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