Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-29T04:57:53.441Z Has data issue: false hasContentIssue false
  • English
  • Français

Acute recoil of stents used for the relief of stenotic great vessels in the setting of congenital cardiac disease

Published online by Cambridge University Press:  24 May 2005

Hideshi Tomita ,
Satoshi Yazaki ,
Kohji Kimura ,
Ken Watanabe ,
Kinya Hatakeyama ,
Yasuo Ono  and
Shigeyuki Echigo
Hideshi Tomita
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Satoshi Yazaki
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Kohji Kimura
Affiliation:
Department of Radiology, National Cardiovascular Center, Suita, Osaka, Japan
Ken Watanabe
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Kinya Hatakeyama
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Yasuo Ono
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Shigeyuki Echigo
Affiliation:
Department of Pediatrics, National Cardiovascular Center, Suita, Osaka, Japan
Get access Rights & Permissions [Opens in a new window]

Abstract

We implanted either large or medium Palmaz stents, or a Palmaz Corinthian stent, in various stenotic vessels, such as the pulmonary arteries, pulmonary veins, aorta, or superior caval vein. Using angiograms, we measured the diameter of the stenotic vessel before or after the implantation, the minimal diameter of the lumen, the minimal diameter of the largest fully expanded balloon used to expand the stent, and the diameter immediately after withdrawal of the balloon.

The minimal diameter of the fully expanded balloon, and the minimal diameter of the lumen subsequent to expansion, were 8.2 ± 2.4, and 7.7 ± 2.3 mm, giving an absolute recoil of 0.5 ± 0.4 mm, and a proportional recoil of 7 ± 4%. There was no significant difference in either the absolute or proportional recoil for any of the stents, or for any of the different stenotic vessels. The proportional recoil correlated linearly with the minimal diameter of the lumen prior to the procedure, and with the ratio of the stenosis to the balloon, while the diameter of the stenotic vessels, the minimal diameter of the largest fully expanded balloon, the proportional stenosis prior to the procedure, and the ratio of the balloon to the diameter of the stenotic vessel, had no significant correlation with proportional recoil. The proportional recoil exceeded more than one-tenth when the minimal diameter of the lumen prior to the dilation was less than 3 mm, or the ratio of the balloon to the stenosis was greater than 3.0.

An absolute recoil of around 1 mm is common when a large or medium Palmaz, or a Palmaz Corinthian stent, is implanted in great vessels. Balloons with a diameter of approximately one-tenth greater than that of the adjacent vessel may be needed if the minimal diameter of the lumen is small prior to the procedure.

Keywords

Congenital cardiac malformationsinterventional cardiology
Type
Original Article
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 519 - 525
Copyright
© 2003 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

O'Laughlin MP, Perry SB, Lock JE, Mullins CE. Use of endovascular stents in congenital heart disease. Circulation 1991; 83: 1923–1939.Google Scholar
Hosking MCK, Benson LN, Nakanishi T, Burrows PE, Williams WG, Freedom RM. Intravascular stent prosthesis for right ventricular outflow obstruction. J Am Coll Cardiol 1992; 20: 373–380.Google Scholar
O'Laughlin MP, Slack MC, Grifka RG, Perry SB, Lock JE, Mullins CE. Implantation and intermediate-term follow-up of stents in congenital heart disease. Circulation 1993; 88: 605–614.Google Scholar
Fogelman R, Nykanen D, Smallhorn JF, McCridle BW, Freedom RM, Benson LN. Endovascular stents in the pulmonary circulation: clinical impact on management and medium-term follow-up. Circulation 1995; 92: 881–885.Google Scholar
Hatai Y, Nykanen DG, Williams WG, Freedom RM, Benson LN. The clinical impact of percutaneous balloon expandable endovascular stents in the management of early postoperative vascular obstruction. Cardiol Young 1996; 6: 48–53.Google Scholar
Shaffer KM, Mullins CE, Grifka RG, et al. Intravascular stents in congenital heart disease: short- and long-term results from a large single-center experience. J Am Coll Cardiol 1998; 31: 661–667.Google Scholar
Rechavia E, Litvack F, Macko G, Eigler NL. Influence of expanded balloon diameter on Palmaz-Schatz stent recoil. Cathet Cardiovasc Diagn 1995; 36: 11–16.Google Scholar
Vrintz CJM, Cools F, Bosmans J, Claeys M, Snoeck JP. Acute luminal gain after stenting: Comparison of Gianturco-Roubin and Palmaz-Schatz stents. J Invas Cardiol 1996; 8: 135–143.Google Scholar
White CJ. Stent recoil: Comparison of the Wiktor-Gx coil and the Palmaz-Schatz tubular coronary stent. Cathet Cardiovasc Diagn 1997; 41: 1–3.Google Scholar
Danzi GB, Fiocca L, Capuano C, Predolini S, Quaini E. Acute stent recoil: in vivo evaluation of different stent designs. Cathet Cardiovasc Intervent 2001; 52: 147–153.Google Scholar
Turner DR, Rodriguez-Cruz E, Ross RD, Forbes TJ. Initial experience using Palmaz Corinthian stent for right ventricular outflow obstruction in infants and small children. Cathet Cardiovasc Intervent 2000; 51: 444–449.Google Scholar
Pass RH, Hsu DT, Garabedian CP, Schiller MS, Jayakumar KA, Hellenbrand WE. Endovascular stent implantation in the pulmonary arteries of infants and children without the use of a long vascular sheath. Cathet Cardiovasc Intervent 2002; 55: 505–509.Google Scholar
Hatai Y, Nykanen DG, Williams WG, Freedom RM, Benson LN. Endovascular stents in children under 1 year of age: acute impact and late results. Br Heart J 1995; 74: 689–695.Google Scholar
Ing FF, Mathewson JW, Cocalis M, Perry JC, Mullins CE. A new technique for implantation of large stents through small sheaths in infants and children with branch pulmonary stenoses. J Am Coll Cardiol 2000; 35 (Suppl A): 500A.Google Scholar
Tomita H, Yazaki S, Kimura K, et al. Late neointimal proliferation following implantation of stents for relief of pulmonary arterial stenosis. Cardiol Young 2002; 12: 125–129.Google Scholar
Schwartz RS, Huber KC, Murphy JG, et al. Restenosis and the proportional neointimal response to coronary artery injury: results in a porcine model. J Am Coll Cardiol 1992; 19: 267–274.Google Scholar
Hoffmann R, Mintz GS, Mehran R, et al. Tissue proliferation within and surrounding Palmaz-Schatz stents is dependent on the aggressiveness of stent implantation technique. Am J Cardiol 1999; 83: 1170–4.Google Scholar
Koyama J, Owa M, Sakurai S, et al. Relation between vascular morphologic changes during stent implantation and the magnitude of in-stent neointimal hyperplasia. Am J Cardiol 2000; 86: 753–758.Google Scholar
Fischman DL, Leon MB, Baim DS, et al. A randomized comparison of coronary-stent placement and balloon angioplasty in the treatment of coronary artery disease. Stent Restenosis Study Investigators. N Engl J Med 1994; 331: 496–501.Google Scholar
Haude M, Erbel R, Issa H, Meyer J. Quantitative analysis of elastic recoil after balloon angioplasty and after intracoronary implantation of balloon-expandable Palmaz-Schatz stents. J Am Coll Cardiol 1993; 21: 26–34.Google Scholar
Leon MB, Popma JJ, Fischman DL, et al. Vascular recoil immediately after implantation of tubular slotted metallic coronary stents. J Am Coll Cardiol 1992; 19: 109A.Google Scholar
Schomig A, Kastrati A, Dietz R, et al. Emergency coronary stenting for dissection during percutaneous transluminal coronary angioplasty: angiographic follow-up after stenting and after repeat angioplasty of the stented segment. J Am Coll Cardiol 1994; 23: 1053–1060.Google Scholar
Powell AJ, Lock JE, Keane JF, Perry SB. Prolongation of RV-PA conduit life span by percutaneous stent implantation, Intermediate term results. Circulation 1995; 92: 3282–3288.Google Scholar
Thanopoulos BD, Hadjinikolaou L, Konstadopoulou GN, Tsaousis GS, Triposkiadis F, Spirou P. Stent treatment for coarctation of the aorta: intermediate term follow up and technical considerations. Heart 2000; 84: 65–70.Google Scholar