What is an ostial lesion?

An ostial lesion is defined as a lesion which begins within 3-5 mm of the origin of a major epicardial artery. Ostial lesions represent a challenge to the interventional cardiologist because they often involve the wall of the aorta, they are often calcified, they may not fully dilate and they are prone to restenosis.

What is the Ostial pro® stent Positioning System?

The OSTIAL PRO® Stent Positioning System enables more accurate stent placement, which can help reduce: • The length of procedures. • Fluoroscopy and radiation exposure. • Use of contrast (important for preserving renal function)

What happens when you stent ostial Lad disease?

Focal ostial stenting may result in incomplete lesion coverage, or plaque shift into the adjacent vessel, creating left main equivalent disease. The strategy of optimal treatment for the ostial lesions must be considered carefully before stenting. How should we treat ostial LAD disease then?

What is Ostial disease of the Lad and LCX?

Ostial disease of the LAD and LCX is a challenge for the interventional cardiologist. Focal ostial stenting may result in incomplete lesion coverage, or plaque shift into the adjacent vessel, creating left main equivalent disease. The strategy of optimal treatment for the ostial lesions must be considered carefully before stenting.

What is another name for ostial stenosis?

Synonyms and Keywords: Ostial lesion, ostial stenosis, aorto-ostial stenosis. Coronary ostial stenosis refers to the narrowing of the ostium part of the coronary arteries. An ostial lesion is defined as a lesion which begins within 3-5 mm of the origin of a major epicardial artery.

What is the prevalence of aorto-ostial lesions?

The prevalence of aorto-ostial lesions varies according to the studied population, between pathological and angiographic studies and is more common in the RCA. Right coronary, aorto ostial lesions were documented in 26% of the cases, LMCA aorto ostial lesions in 25% and bilateral aorto ostial lesions in 14%.

Is stenting a reasonable option for ostial Lad and LCX?

The incidence of TLR was 15%. Conclusion: Main branch stenting with post-stent deployment kissing balloon inflations and provisional side branch stenting may be a reasonable option for the treatment of ostial LAD or LCX disease. Publication types

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