研究目的
Investigating the importance of confirming the rewired cell by intraprocedural instant stent-accentuated three-dimensional optical coherence tomography (iSA3D-OCT) in bifurcation stenting to ensure favorable results.
研究成果
The study concludes that detailed confirmation of the rewired cell by intraprocedural iSA3D-OCT is important in bifurcation stenting, especially when there are two distal cells divided by the link bridging from the carina. Rewiring through the larger distal cell is recommended for side branch postdilatation to minimize incomplete stent apposition.
研究不足
The study is based on a single case report, which may limit the generalizability of the findings. Further research with a larger sample size is needed to confirm the advantages of using iSA3D-OCT in bifurcation stenting.
1：Experimental Design and Method Selection:
The study utilized iSA3D-OCT to confirm the relation between stent struts and the jailed side branch and the rewired cell in bifurcation stenting.
2：Sample Selection and Data Sources:
A case report of a 69-year-old man undergoing percutaneous coronary intervention (PCI) for stenoses of the left anterior descending artery (LAD).
3：List of Experimental Equipment and Materials:
Platinum-chromium everolimus-eluting stents (Promus Premier, Boston Scientific Co.), biolimus-eluting stent (Japanese design of Nobori, Terumo), intravascular ultrasonography (IVUS, OptiCross, Boston Scientific Co.), and 2D-OCT (Dragonfly JP and ILUMIEN Optis, St. Jude Medical).
4：Experimental Procedures and Operational Workflow:
The process involved stenting, rewiring to the left circumflex artery (LCx), and confirmation of the rewired cell using iSA3D-OCT.
5：Data Analysis Methods:
The study analyzed the effectiveness of rewiring through the larger distal cell for side branch postdilatation.
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