Prsentation PowerPoint

1
Provisionnal T stenting With the Frontier stent
Technical Issues
GUIDANT
Martial Hamon Caen, France
(7 French compatible device stent length of main
branch 18 mm)
2
Diago.
Wiring 2 vessels
LAD
Case
After Kissing Balloon dilation
Placement of The Frontier stent
Procedure
3
Frontier implantation
Provisionnal T stenting
Direct stenting of side branch Simutaneous
kissing procedure
Final Result
Case
Procedure
4
Provisionnal T stenting With the Frontier stent
Case
Procedure
Before
After
5
Guidant MUTI-LINK FRONTIER Coronary Bifurcation
Stent System

• Designed for preserving side branch access
• Integrated-tip design allows single tip delivery,
  avoiding wire wrap
• Stent deploys with simultaneous kissing balloon
  inflation
• Wire position is maintained in both branches
  throughout the procedure

Stent
Description
6
Lesion selection and preparation

• Lesion type to be avoided
• calcified vessels
• Tortuous vessels
• very small vessels.
• Preparation of lesion
• Pre-dilate the lesion(s)
• Keep 2 wires in place after pre-dilatation, to
  facilitate your exchange wire placement through
  the OTW lumen (buddy wire technique).

Technical Issues

• Materials
• 7 French guiding catheter recommended
• Long guide wire for side branch access
  (extra-support preferred)
• The nominal diameter is the distal diameter of
  the device. The proximal diameter is 0.6 to 0.8
  mm larger.

7

• Manipulation
• Do not torque the system. It is NOT designed to
  respond to torque
• Remove the mandrel when the integrated tip is
  near the carina
• Once mandrel is removed, do not push the system
  forward without a second guide wire in the OTW
  lumen emerging distally.
• Use the middle balloon marker for good placement
  of the Frontier stent at the carina.
• Observe the relative position of the two guide
  wires, as parallel wires with clear divergence at
  the carina indicate optimal positioning prior to
  deployment.
• Do not pull back un-deployed Frontier system
  through guiding catheter. If needed, pull back
  entire system with the guiding catheter as a
  single unit.
• Post-dilate with kissing balloons if result is
  not optimal following Frontier deployment.

Technical Issues