Addressing the Challenge of Bifurcation Stenting Dean J Kereiakes MD Medical Director The Christ Hospital Heart and Vascular Center and the Lindner Research Center Cincinnati Ohio Professor of Medicine Ohio State University ID: 515675
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Slide1
Tryton
: Addressing the Challenge of Bifurcation Stenting
Dean J.
Kereiakes
, M.D.
Medical Director, The Christ Hospital Heart and Vascular Center and the Lindner Research Center , Cincinnati, Ohio
Professor of Medicine, Ohio State UniversitySlide2
Modest Consulting Fees
Significant
Consulting Fees
Significant Consulting Fees
Significant Consulting Fees
Significant Consulting FeesSignificant Consulting FeesMajor Stock Shareholder/Equity
HCRIBoston ScientificAbbott VascularSvelte Medical Systems, Inc.Janssen Research & Development LLCSanofi-Aventis U.S. LLCAblative Solutions, Inc.
Affiliation/Financial Relationship
Company
Disclosure Statement of Financial Interest
Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement or affiliation with the organization(s) listed below.Slide3
Tryton-The Vision: To treat spectrum of Bifurcation Lesions with the Same Predictability and Durability as Straight Lesions Slide4
Bifurcation LesionsBifurcation lesions are characterized by variable and complex anatomy:
Focal
Diffuse
Angulated
CalcifiedSlide5
Clinical Segmentation
- Plaque Distribution Classifications -
ICPS
*
*
*Slide6
Bifurcation Stenting Techniques with Workhorse Stents
T Stenting V Stenting Y Stenting
Culotte
* Crush*
Kissing Stent*
*”gap” coverage
Slide7
Complex Bifurcation Disease:Addressing with workhorse DES makes one ‘MADS’!
Catheter and Cardio Interventions 71:175–183 (2008)Slide8
As
bifurcation angle changes from 90º,
unstented
vessel area
increases rapidly
with “
workhorse stents”
Suboptimal Coverage & Drug delivery with Workhorse Stents
0 10 20 30 40 50 60 70 80
.
Bifurcation Angle (degrees)
Unstented
Vessel Area
90Slide9
Tryton Side Branch Stent
Transition Zone
Side Branch Zone
Main Branch Zone
8 mm
4.5 mm
6.5 mm
For Investigational Use Only in the United States
For Investigational Use Only in the United States
Slide10
Tryton Deployed - Side Branch SecuredSlide11
Position Main Branch StentSlide12
Complete Lesion CoverageSlide13
Tryton Sidebranch StentSlide14
Symposium AgendaSlide15
Thank You