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    POBA Vs BMS

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    usfcards
    The document discusses different types of bare metal stents, their uses, and comparisons to other treatments. It notes that bare metal stents come in closed cell and modular cell designs and must be inflated carefully to balance vessel injury versus stent apposition. For vessels under 3mm, PTCA has similar outcomes to stents, while stents provide no benefit in small vessels. Bare metal stents are used in acute myocardial infarction and have been compared to CABG. Covered stents have been used in saphenous vein grafts. The document also mentions comparisons between drug-eluting and bare metal stents.

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    POBA Vs BMS

    Uploaded by

    usfcards
    644 views64 pages
    The document discusses different types of bare metal stents, their uses, and comparisons to other treatments. It notes that bare metal stents come in closed cell and modular cell designs and must be inflated carefully to balance vessel injury versus stent apposition. For vessels under 3mm, PTCA has similar outcomes to stents, while stents provide no benefit in small vessels. Bare metal stents are used in acute myocardial infarction and have been compared to CABG. Covered stents have been used in saphenous vein grafts. The document also mentions comparisons between drug-eluting and bare metal stents.

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    POBA vs BMS

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    The document discusses different types of bare metal stents, their uses, and comparisons to other treatments. It notes that bare metal stents come in closed cell and modular cell designs and must be inflated carefully to balance vessel injury versus stent apposition. For vessels under 3mm, PTCA has similar outcomes to stents, while stents provide no benefit in small vessels. Bare metal stents are used in acute myocardial infarction and have been compared to CABG. Covered stents have been used in saphenous vein grafts. The document also mentions comparisons between drug-eluting and bare metal stents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    644 views64 pages

    POBA Vs BMS

    Uploaded by

    usfcards
    The document discusses different types of bare metal stents, their uses, and comparisons to other treatments. It notes that bare metal stents come in closed cell and modular cell designs and must be inflated carefully to balance vessel injury versus stent apposition. For vessels under 3mm, PTCA has similar outcomes to stents, while stents provide no benefit in small vessels. Bare metal stents are used in acute myocardial infarction and have been compared to CABG. Covered stents have been used in saphenous vein grafts. The document also mentions comparisons between drug-eluting and bare metal stents.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 64

    Interventional Conference

    Bare Metal Stents


    Basic Stent Design
    Closed Cell
    design

    Modular Cell
    design
    High Pressure Inflation must balance
    vessel injury vs. stent approximation
    POBA vs BMS
    > 3 mm

    < 3 mm
    No difference in
    small vessels PTCA
    vs. Stent
    Non benefit for BMS in
    small vessels
    BMS in Acute MI
    CABG vs. Stent
    BMS in SVG
    Saved
    • Description
    Stenting vs. PTCA for angiographic restenosis in vein grafts.

    • Hypothesis
    To compare stent implantation with balloon angioplasty for the treatment of obstructive disease of
    venous bypass grafts.

    • Drugs/Procedures Used
    Palmaz-Schatz coronary stent vs balloon angioplasty

    • Concomitant Medications

    • Patients assigned to stent placement received aspirin (325 mg qd) and dipyridamole (75 mg tid),
    beginning at least 24 hours before the procedure.

    • During the procedure, patients received intravenous dextran 40 and heparin to maintain an
    activated clotting time of more than 300 seconds. Warfarin therapy was begun on the day of the
    procedure, and heparin therapy was continued until a therapeutic prothrombin time (international
    normalized ratio, 2.0 to 3.5) was achieved.

    • Dipyridamole and warfarin were continued for one month, and aspirin indefinitely.
    Use of Covered stent
    Covered Jo stent in SVG
    DES vs. BMS

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