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Early clinical experience with the Multi-Link coronary stent
1Cardiac Catheterization Laboratory, Adventist Hospital, Hong Kong, China.
Catheterization and Cardiovascular Diagnosis
|December 1, 1996
Summary
The Multi-Link coronary stent demonstrated high success in delivering 56 stents to 40 patients, showing excellent flexibility and radial strength with minimal complications and no major adverse cardiac events during follow-up.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Biomedical Engineering
Background:
- The Multi-Link coronary stent is a novel balloon-expandable device designed for flexibility and radial strength.
- This study evaluates the early clinical experience with the Multi-Link stent in a real-world setting.
Observation:
- Forty patients with 44 lesions were treated with 56 Multi-Link stents between November 1995 and January 1996.
- Patient presentations varied, including stable angina, unstable angina, and acute myocardial infarction.
- Lesion types ranged from ACC/AHA type A to C, with a high proportion of de novo lesions.
Findings:
- Stent delivery was successful in all patients, with a mean diameter stenosis reduction from 76% to 2%.
- Minimal complications were observed, including one balloon rupture and two guide wire issues, all without sequelae.
- No acute-subacute stent thromboses, bleeding, vascular complications, or major cardiac events occurred during the 2-5 month follow-up.
Implications:
- The Multi-Link stent shows promising early clinical outcomes with high success rates and a favorable safety profile.
- This device's design offers significant flexibility and radial strength, making it suitable for various coronary anatomies.
- Further long-term studies are warranted to confirm these encouraging initial findings.