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J Am Coll Cardiol, 2002; 40:1021-1033
© 2002 by the American College of Cardiology Foundation
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STATE-OF-THE-ART PAPER

Selection of coronary stents

Antonio Colombo, MD, FACC*,*, Goran Stankovic, MD* and Jeffrey W. Moses, MD, FACC{dagger}

* Columbus Hospital, Milan, Italy
{dagger} Lenox Hill Hospital, New York, New York, USA

Manuscript received February 12, 2002; revised manuscript received March 29, 2002, accepted April 17, 2002.

* Reprint requests and correspondence: Dr. Antonio Colombo, EMO Centro Cuore Columbus, Via M. Buonarroti 48, 20145 Milan, Italy.
info{at}emocolumbus.it

In clinical practice, the operator must decide which stent is most appropriate for the patient. This article focuses on the features of stent design that make a specific stent more or less suitable for a particular type of lesion or anatomy: the "average" coronary lesion, the lesion situated on a curve, the ostial lesion, the bifurcational lesion, the lesion located at the left main stem, the calcified lesion, the chronic total occlusion, the small vessel, the saphenous vein graft, acute or threatened vessel closure, and special situations such as coronary aneurysms and perforations.

Abbreviations and Acronyms
  IVUS
  intravascular ultrasound
  PTFE
  polytetrafluoroethylene
  PTCA
  percutaneous transluminal coronary angioplasty




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