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Advances in Quantitative Coronary Arteriography pp 609–624Cite as

Coronary Gianturco-Roubin stents

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 137))

Summary

Coronary revascularization using percutaneous techniques is evolving rapidly as new techniques develop. Despite these recent innovations, acute vessel closure following the procedure, and then restenosis, continue to limit its effectiveness.

The Gianturco-Roubin stent was developed in an attempt to improve the intraluminal results of angioplasty and thereby prevent or control acute vessel closure. Further, by providing an optimal luminal result, the incidence of restenosis my be reduced.

In this chapter, we will briefly describe the early development of this device and then provide detailed technical instruction on the effective deployment of the stent into the coronary artery, based on our experience with over 250 patients. Finally, we will provide some preliminary results from the Cook multicenter database in addition to details of acute success and early follow-up from the experience at the University of Alabama Hospital.

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References

  1. Dotter CT. Transluminal placed coil spring endarterial tube grafts - long term patency in canine popliteal artery. Invest Radiol 1969; 4: 329–32.

    Article  PubMed  CAS  Google Scholar 

  2. Gruentzig AR, Senning A, Siegenthaler WE. Nonoperative dilatation of coronary artery stenosis: percutaneous transluminal coronary angioplasty. N Engl J Med 1979; 301: 61–8.

    Article  Google Scholar 

  3. Detre K, Holubkov R, Kelsey S, et al. Percutaneous transluminal coronary angioplasty in 1985–1986 and 1977–1981. The National Heart, Lung, and Blood Institute Registry. N Engl J Med 1988; 318: 265–70.

    Article  PubMed  CAS  Google Scholar 

  4. Ellis SG, Vandormael MG, Cowley MJ, et al. Coronary morphologic and clinical determinants of procedural outcome with angioplasty for multivessel coronary disease. Implications for patient selection. Multivessel Angioplasty Prognosis Study Group. Circulation 1990; 82: 1193–202. Comment in: Circulation 1990; 82: 1516–8.

    Article  PubMed  CAS  Google Scholar 

  5. Simpfendorfer C, Belardi J, Bellamy G, Galan K, Franco I, Hollman J. Frequency, management and follow-up of patients with acute coronary occlusions after percutaneous transluminal coronary angioplasty. Am J Cardiol 1987; 59: 267–9.

    Article  PubMed  CAS  Google Scholar 

  6. Detre KM, Holmes DR Jr, Holubkov R, et al. Incidence and consequences of peri-procedural occlusion: The 1985–1986 National Heart, Blood, and Lung Institute Percutaneous Transluminal Coronary Angioplasty Registry. Circulation 1990; 82: 739–50. Comment in: Circulation 1990; 82: 1039–43.

    Google Scholar 

  7. Bredlau CE, Roubin GS, Leimgruber PP, Douglas JS Jr, King SB 3d, Gruentzig AR. In-hospital morbidity and mortality in patients undergoing elective coronary angioplasty. Circulation 1985; 72: 1044–52.

    Article  PubMed  CAS  Google Scholar 

  8. Leimgruber PP, Roubin GS, Hollman J, et al. Restenosis after successful coronary angioplasty in patients with single vessel disease. Circulation 1986; 73: 710–7.

    Article  PubMed  CAS  Google Scholar 

  9. Roubin GS, King SB 3d, Douglas JS Jr. Restenosis after percutaneous coronary angioplasty - Emory University Hospital experience. Am J Cardiol 1987; 60: 39B–43B.

    Article  PubMed  CAS  Google Scholar 

  10. Gruentzig AR, King SB 3d, Schlumpf M, Siegenthaler W. Long-term follow-up after percutaneous transluminal coronary angioplasty. The early Zurich experience. N Engl J Med 1987; 316: 1127–32.

    Article  PubMed  CAS  Google Scholar 

  11. Black AJR, Namay DL, Niederman AL, Lembo NJ, Roubin GS, Douglas JS Jr, King SB 3d. Tear or dissection after coronary angioplasty. Morphologic correlates of an ischemic complication. Circulation 1989; 79: 1035–42.

    Article  PubMed  CAS  Google Scholar 

  12. Sinclair IN, McCabe CH, Sipperly ME, Baim DS. Abrupt reclosure: predictors, therapeutic options, and long-term outcome. J Am Coll Cardiol 1988; 11 (2 Suppl A): 132A (Abstract).

    Google Scholar 

  13. Ellis SG, Roubin GS, King SB 3d, et al. Angiographic and clinical predictors of acute closure after native vessel coronary angioplasty. Circulation 1988; 77: 372–9.

    Article  PubMed  CAS  Google Scholar 

  14. Roubin GS, Robinson KA, King SB 3d, et al. Early and late results of intracoronary arterial stenting after coronary angioplasty in dogs. Circulation 1987; 76: 891–7.

    Article  PubMed  CAS  Google Scholar 

  15. Robinson KA, Roubin GS, Apkarian RP, Black Ai, King SB 3d. Short term effects of intracoronary stenting in the canine: a descriptive scanning electron ‘microscope analysis. Circulation 1987; 76 (4 Suppl IV): IV-26 (Abstract).

    Google Scholar 

  16. Robinson KA, Roubin GS, Siegel RJ, Black AJ, Apkarian RP, King SB 3d. Intra-arterial stenting in the atherosclerotic rabbit. Circulation 1988; 78: 646–53.

    Article  PubMed  CAS  Google Scholar 

  17. Roubin GS, Douglas JS Jr, Lembo NJ, Black AJ, King SB 3d. Intracoronary stenting for acute closure following percutaneous transluminal coronary angioplasty (PTCA). Circulation 1988; 78 (Suppl II): II-407 (Abstract).

    Google Scholar 

  18. Ischinger T, Gruentzig AR, Meier B, Galan K. Coronary dissection and total coronary occlusion associated with percutaneous transluminal coronary angioplasty: significance of initial angiographic morphology of coronary stenosis. Circulation 1986; 74: 1371–8.

    Article  PubMed  CAS  Google Scholar 

  19. Guidelines for Percutaneous Transluminal Coronary Angioplasty. A report of the American College of Cardiology/American Heart Association Task Force on Assessment of Diagnostic and Therapeutic Cardiovascular Procedures (Subcommittee on Percutaneous Transluminal Coronary Angioplasty). J Am Coll Cardiol 1988; 12: 529–45.

    Article  Google Scholar 

  20. Roubin GS, Agrawal S, Dean LS, et al. What are the predictors of acute complications following coronary artery stenting? Single institutional experience. J Am Coll Cardiol 1991; 17 (2 Suppl A): 281A (Abstract).

    Article  Google Scholar 

  21. Roubin GS, Cannon AD, Agrawal SK, et al. Intracoronary stenting for acute and threatened closure complicating percutaneous transluminal coronary angioplasty. Circulation (in press).

    Google Scholar 

  22. Macander PJ, Agrawal SK, Cannon AD, et al. Is PTCA within the stenotic coronary stent safer than routine angioplasty? Circulation 1991; 84 (4 Suppl II): II-198 (Abstract).

    Google Scholar 

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Authors
  1. Adam D. Cannon
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  2. Gary S. Roubin
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Editor information

Editors and Affiliations

  1. Laboratory for Clinical and Experimental Image Processing, Department of Diagnostic Radiology and Nuclear Medicine, University Hospital Leiden, Leiden, The Netherlands

    Johan H. C. Reiber

  2. Catheterization Laboratory, Thorax Center, Erasmus University, Rotterdam, The Netherlands

    Patrick W. Serruys

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© 1993 Springer Science+Business Media Dordrecht

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Cannon, A.D., Roubin, G.S. (1993). Coronary Gianturco-Roubin stents. In: Reiber, J.H.C., Serruys, P.W. (eds) Advances in Quantitative Coronary Arteriography. Developments in Cardiovascular Medicine, vol 137. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1854-5_37

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  • DOI: https://doi.org/10.1007/978-94-011-1854-5_37

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4819-4

  • Online ISBN: 978-94-011-1854-5

  • eBook Packages: Springer Book Archive

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