Medscape Conference Coverage, based on selected sessions at the:
EuroPCR 2008: European Paris Course on Revascularization
May 13 - 16, 2008, Barcelona, Spain
This activity is not sanctioned by, nor a part of, the European Association for Percutaneous Cardiovascular Interventions. Conference news does not receive grant support and is produced independently.
Conference News- Six-Month CACTUS Results: "No Advantage, No Penalization" in Using Two Stents for BifurcationsThe trial, comparing the crush technique with provisional T-stenting in bifurcation lesions, suggests that outcomes are similar, regardless of the technique used, at least in "true" bifurcation lesions where both the main vessel and side branch have significant stenosis.
Heartwire, May 28, 2008 - CUSTOM III: Registry Data Bolsters Enthusiasm for the Stent That Can be Customized to Longer LesionLengths A multicenter registry study using the Custom NX DES has again shown that the device is safe in long lesions and in a smaller group of patients receiving two stents delivered consecutively from a single 60-mm section. Randomized controlled trials are the next step, investigators say.
Heartwire, May 23, 2008 - First Clinical Data on "Healing" Stents Hint at Reduced Stent Thrombosis, But Also Increased RestenosisResults from the ongoing multicenter TRIAS-HR/LR trials will be needed to determine whether the Genous endothelial-cell-capture stent becomes a niche product for people who can't take clopidogrel or who face a high thrombosis risk or if it will compete with DES.
Heartwire, May 16, 2008 - "Delipidated" HDL: A New, Autologous Option for Plaque Regression?Very preliminary data from a pilot study indicates that stripping a patient's own HDL of its lipid content, then reinfusing it, is feasible and safe and may even offer a novel means of stabilizing atherosclerotic plaques.
Heartwire, May 16, 2008 - Two-Year Danish Registry Results Raise Red Flag for Taxus, But Experts Warn Against OverreactionThe latest data from the Western Denmark registry, broken down by stent type, suggests that Taxus-treated patients face a nearly fivefold higher risk of stent thrombosis and a 50% higher risk of death between 12 and 24 months; no such increases were seen in Cypher-treated patients.
Heartwire, May 15, 2008 - Debating IVUS for Routine Clinical Use: Can Optimizing Stent Placement With IVUS Improve Clinical Outcomes?Proponents say intravascular ultrasound can reduce stent underexpansion and improve placement--things that should translate into less stent thrombosis/restenosis. But in the absence of large randomized clinical trials, others argue the technology is too expensive, prolongs procedures, and requires too much expertise to use on a routine basis.
Heartwire, May 14, 2008 - Newer-Generation DES: Promising Two-Year Results vs Taxus For Xience V and NoboriEnduring clinical results suggest that the newer platforms, with limus-type drugs, may offer an edge over the first DES on the market.
Heartwire, May 14, 2008
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