Procedural trauma risks longitudinal shortening of the promus elementTM stent platform

Joanne Shannon, Azeem Latib, Kensuke Takagi, Alaide Chieffo, Filippo Figini, Francesco Sacco, Santo Ferrarello, Matteo Montorfano, Antonio Colombo

Research output: Contribution to journalArticle

Abstract

This case series raises further awareness of the potential for longitudinal shortening with the Promus ElementTM (Boston Scientific, MN) drug-eluting stent (DES) platform. With safety at the forefront of DES development, newer generation systems are utilizing thinner platforms with little or no polymer. Although these contemporary, ultrathin platforms also improve conformability and deliverability, specific design characteristics might inadvertently reduce longitudinal strength. To date, there are no randomized data addressing this issue in vivo for any stent platform, with opinion based on individual experience and bench testing. We report five cases of longitudinal shortening with the Promus Element stent occurring in our institution over a 15-month period. During the same period, we experienced only isolated cases with other second generation DES platforms. Our experience supports recently published bench-top data correlating the two-link design of this platform with the risk of compression.

Original languageEnglish
Pages (from-to)810-817
Number of pages8
JournalCatheterization and Cardiovascular Interventions
Volume81
Issue number5
DOIs
Publication statusPublished - 2013

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Keywords

  • Stent compression
  • Stent design
  • Stent shortening

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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