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Related Experiment Video

Updated: May 7, 2026

A Micro-CT-based Method for Characterizing Lesions and Locating Electrodes in Small Animal Brains
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A Micro-CT-based Method for Characterizing Lesions and Locating Electrodes in Small Animal Brains

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Bifurcational lesions: do we really need dedicated devices?

Gioel Gabrio Secco1, Carlo Di Mario

  • 1Department of Clinical and Experimental Medicine, University of Eastern Piedmont, Novara, Italy.

International Journal of Cardiology
|October 2, 2013
PubMed
Summary
This summary is machine-generated.

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Provisional side-branch stenting is standard for bifurcation lesions. A specialized glider balloon may overcome challenges in recrossing main vessel stent struts for optimal side-branch access.

Area of Science:

  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Bifurcation lesions present complex challenges in percutaneous coronary intervention.
  • Provisional side-branch stenting is the established standard, but post-stent deployment issues like carina shift and ostial stenosis are common.
  • Recrossing main vessel stent struts to treat the side branch can be difficult, often due to balloon tip impingement.

Discussion:

  • Kissing balloon dilatation remains a debated technique in bifurcation stenting.
  • Operators aim to correct carina shift post-main vessel stenting by apposing jailed struts.
  • Difficulties in wire and balloon recrossing underscore the need for improved device technology.

Key Insights:

  • The Glider balloon's design, featuring a short beveled tip and torquable shaft, facilitates rotation and navigation.
Keywords:
AngioplastyBifurcation lesionCoronary artery diseaseStent

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  • This device may provide a solution for challenging recrossing of previously deployed stent struts.
  • Successful side-branch access post-main vessel stenting is crucial for optimal procedural outcomes.

    • Outlook:

    • Further investigation into the efficacy of the Glider balloon in complex bifurcation lesions is warranted.
    • New device innovations could enhance the safety and success rates of bifurcation interventions.
    • Optimizing techniques for side-branch access will be key to improving patient outcomes in coronary interventions.