The stent decade: 1987 to 1997. Stanford Stent Summit faculty.

Abstract:

:In January 1997, experts from the United States, Europe, and Japan gathered at Stanford University to review their collective experience with intracoronary and noncoronary stenting and to identify and prioritize issues requiring further clinical investigation. This report summarizes the discussions that took place during this stent summit. Knowledge of stent-tissue interaction from animal and human pathologic specimens was reviewed in the context of evolving stent designs. The relative merits of coil and slotted tubular stent designs were discussed. Stent deployment routines, including self-expansion, balloon expansion, and high-pressure delivery were debated. The potential for covered stents and coated stents was explored. Problems surrounding the routine deployment of stents were identified: small vessel disease, long lesions, bifurcation stenoses, vein graft disease, ostial disease, left main stenoses, and intrastent restenosis. The value of intravascular ultrasound, as an adjunct to stenting, was explored and debated. An algorithm for "provisional stenting" based on ultrasound criteria was developed. Noncoronary stenting of the aorta, iliacs, and carotids were discussed. Clinical applications that may lead to randomized clinical trials were identified.

journal_name

Am Heart J

journal_title

American heart journal

authors

Oesterle SN,Whitbourn R,Fitzgerald PJ,Yeung AC,Stertzer SH,Dake MD,Yock PG,Virmani R

doi

10.1016/s0002-8703(98)70004-3

subject

Has Abstract

pub_date

1998-10-01 00:00:00

pages

578-99

issue

4 Pt 1

eissn

0002-8703

issn

1097-6744

pii

S0002870398000623

journal_volume

136

pub_type

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