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

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

Research output: Contribution to journalArticlepeer-review

Abstract

The Cordis CrossFlex(TM) 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 ± 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.

Original languageEnglish
Pages (from-to)237-240
Number of pages4
JournalInternational Journal of Cardiovascular Interventions
Volume2
Issue number4
DOIs
StatePublished - 1999
Externally publishedYes

Keywords

  • Angioplasty
  • Coronary disease
  • Registries
  • Revascularization
  • Stents

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