New indicator for stent covering area

Morris Mosseri*, Yoseph Rozenman, Adrian Mereuta, Yonathan Hasin, Mervyn S. Gotsman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

A small gap between stent struts is essential to support the vessel wall, prevent elastic recoil, and prevent intimal flaps from prolpasing into the lumen. We defined Gap Index as the ratio of strut width divided by the percent of the vessel wall area covered by the stent metal, and proved mathematically that this index relates inversely to the total length of stent struts (or coil), end directly related to stent cell size. Twenty-four (12 tubular and 12 coil) stents from 17 manufacturers were analyzed. Strut width in the tubular and coil groups was 354.1 ± 276.0 and 955.9 ± 553.9 μm, respectively (P < 0.001). The relative metallic surface area (RMS) in the tubular and coil groups for 3 mm stent diameter was 16.0 ± 4.6 and 10.6 ± 3.7%, respectively (P < 0.005). Great variations in Gap Index were found amongst different stents, with up to 100-fold. Gap Index in the tubular and coil groups for 3 mm stent diameter was 24.4 ± 21.7 and 105.8 ± 97.5 units, respectively (P = 0.001). Thus, coil stents have a smaller relative metallic surface area despite increased strut width. This is the result of reduced total strut length and fewer and larger cells, as represented by a higher Gap Index. This information may be useful for new stents designs.

Original languageEnglish
Pages (from-to)188-192
Number of pages5
JournalCatheterization and Cardiovascular Diagnosis
Volume44
Issue number2
DOIs
StatePublished - Jun 1998
Externally publishedYes

Keywords

  • Angioplasty
  • Arteries
  • Restenosis
  • Stents

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