The document discusses drug-eluting stents, focusing on the Zilver PTX stent. It provides an overview of the Zilver PTX, including its stent platform, paclitaxel drug coating, mechanism of action, intended use, sizing, and available configurations. Clinical trial results show the Zilver PTX significantly reduces restenosis and need for reintervention compared to standard care or bare metal stents at 5-year follow-up.
There are many interventional cardiac procedure those need a trans septal puncture of the interatrial septum. This presentation clearly elaborates everything you need to know about the TSP.
IVUS may not be clinically warranted in all interventions, and should be seen as an adjunct to angiography. IVUS provides information about vessel morphology, plaque topography, and therapeutic outcomes that is often either equivocal or unavailable in angiographic images.
There are 3 situations in which IVUS has the most clinical utility:
Small vessel stenting: Studies have shown that post-stent restenosis rates are higher in small vessels. This is particularly true for vessels with diameters of 3.0mm or less, wherein small increases in stent diameter have been shown to significantly decrease the rate of restenosis. A study by Moussa et al showed that, as measured by IVUS, the incidence of restenosis has an inverse relationship to the post-procedure in-stent lumen CSA1.
In-Stent restenosis: In these cases, IVUS helps to determine whether the restenosis is due to inadequate stent deployment (underexpansion or incomplete apposition) due to intimal hyperplasia. IVUS will also help you select the proper device size for treatment of the stented area.
Difficult to assess lesions: At times, images of a lesion and the adjacent reference segment are often hazy. IVUS should be used to identify whether the angiographic appearance is due to dissection, thrombus, residual plaque, or is benign.
This is a recreation of a presentation that I created in the early 2000s for a nursing inservice about femoral vascular access site complications. Post cardiac catheterization and post interventional radiology patients were a new patient population for these nurses.
There are many interventional cardiac procedure those need a trans septal puncture of the interatrial septum. This presentation clearly elaborates everything you need to know about the TSP.
IVUS may not be clinically warranted in all interventions, and should be seen as an adjunct to angiography. IVUS provides information about vessel morphology, plaque topography, and therapeutic outcomes that is often either equivocal or unavailable in angiographic images.
There are 3 situations in which IVUS has the most clinical utility:
Small vessel stenting: Studies have shown that post-stent restenosis rates are higher in small vessels. This is particularly true for vessels with diameters of 3.0mm or less, wherein small increases in stent diameter have been shown to significantly decrease the rate of restenosis. A study by Moussa et al showed that, as measured by IVUS, the incidence of restenosis has an inverse relationship to the post-procedure in-stent lumen CSA1.
In-Stent restenosis: In these cases, IVUS helps to determine whether the restenosis is due to inadequate stent deployment (underexpansion or incomplete apposition) due to intimal hyperplasia. IVUS will also help you select the proper device size for treatment of the stented area.
Difficult to assess lesions: At times, images of a lesion and the adjacent reference segment are often hazy. IVUS should be used to identify whether the angiographic appearance is due to dissection, thrombus, residual plaque, or is benign.
This is a recreation of a presentation that I created in the early 2000s for a nursing inservice about femoral vascular access site complications. Post cardiac catheterization and post interventional radiology patients were a new patient population for these nurses.
This is a comprehensive description of coronay lesion assessment from routinely used angiography to advanced imaging modalities like IVUS/OCT including their functional significance by FFR
Diagnostic catheters for coronary angiography Aswin Rm
Overview of diagnostic catheters used in coronary angiography
Guide catheters not included
History of coronary catheters
Radial techniques and catheters
This is a comprehensive description of coronay lesion assessment from routinely used angiography to advanced imaging modalities like IVUS/OCT including their functional significance by FFR
Diagnostic catheters for coronary angiography Aswin Rm
Overview of diagnostic catheters used in coronary angiography
Guide catheters not included
History of coronary catheters
Radial techniques and catheters
Interbody Fusion Cages are available in radiolucent PEEK, and Titanium. Cages are avaliable in numerous footprints. heights and sagittal profiles to provide the flexibility to accommodate
various patient anatomies
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Skytech Medical is engaged in manufacturing and distribution of medical equipment and surgical instruments in India. The parent company Continental Surgical was established in 1954.An experienced and well-trained staff handles an extensive range of medical supplies, which can broadly be classified into the following categories :
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Scandinavian Total Ankle Replacement System (STAR™ Ankle) | Enovis DJO®
The Scandinavian Total Ankle Replacement System (STAR Ankle) is comprised of a Tibial Plate, Mobile Bearing, and Talar Component. The STAR Ankle is designed to replace a portion of the distal tibial and proximal talar bones of the natural ankle joint. The device is designed to allow the patient to regain and/or retain some of his/her normal ankle mobility and function.
Reach us through https://www.djoglobal.com/contact-us.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. PI Training Program
Company Confidential
Zilver Stent with history and
development
2003:
Launch of
Zilver 518
2004:
Launch of
Zilver 635
2000 2015
2009:
Launch of
Zilver PTX 7 Fr
2011:
Launch of
Zilver PTX 6 Fr
2011:
Launch of
Zilver Vena
2001:
Launch of
Zilver 735
2008:
Launch of
Zilver 518RX
2009:
Launch of
Zilver Flex
2015:
Launch of
New
delivery
system
Zilver PTX
5. PI Training Program
Company Confidential
Nitinol
• Nickel Titanium Naval Ordinance
Laboratory
• Superelastic alloy
• Memory shape material
• Has lowest fatigue-crack growth resistance
of metallic alloys used for implant
7. PI Training Program
Company Confidential
Open Cell: - More flexible
- Conforms to vessel wall better
- Less metal in smaller vessels
Closed Cell: - More radial force
- Greater plaque coverage
Tanaka N, Martin JB, Tokunaga K, et al. Conformity of carotid stents with vascular anatomy: evaluation in carotid
models. AJNR Am J Neuroradiol. 2004; 25(4):604-607.
Silva M. Debate: open cell stents are superior! Presented at: ICCA V 5th International Course on Carotid Angioplasty
and Other Cerebrovascular Interventions; October 28, 2005; Frankfurt, Germany.
Open Cell vs. Closed Cell
9. PI Training Program
Company Confidential
Zilver Flex 35
Linear connectors result in more uniform load distribution and
more stable deployment characteristics (no twisting or
elongation)
10. PI Training Program
Company Confidential
Zilver Flex 35
Tie-bar connectors alternate direction resulting in
enhanced axial fatigue
11. PI Training Program
Company Confidential
Physician Preferences
Balloon-Expandable Stent
SES and BES are perfect substitutes
Self-Expandable Stent
When to use what?
12. PI Training Program
Company Confidential
BES: “The high radial
strength of the balloon
expandable stents and the
lack of foreshortening make
them suitable, in particular,
for ostial or severely calcified
lesions."
Source: Manual of peripheral vascular intervention,
Casserly, I. P. et al., 2005 by Lippincott Williams & Wilkins,
USA
When to use what?
15. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
The Only Drug Eluting Peripheral Stent for the SFA
Backgound
Launched in Europe in 2009
More than 250,000 patients treated
Sold on 6 continents
5 year clinical data follow-up
Proven Drug Effect
16. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Mechanical Therapy: Established Technology
Stent Platform
Zilver® PTX® is based on the next-
generation Zilver Flex stent platform
The stent is known for its balance of
flexibility, fracture resistance, and
radial force
The combination of drug-elution and a
strong yet flexible scaffold is the
standard of care for SFA lesions
17. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Drug Therapy: Paclitaxel coating (PTX)
Zilver PTX Drug-Eluting Peripheral Stent
• New generation SFA Stent
• Available in over 50 countries
• Approved in EU, Japan, and US
• Scaffold plus drug
– Mechanical scaffold:
Zilver Flex® Stent Platform
– Drug therapy: Paclitaxel only
• No polymer or binder
• 3 µg/mm2 dose density Uncoated
PTX Coated
18. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Why Are Drugs Used?
1. To reduce restenosis
2. To inhibit smooth muscle cell
proliferation
3. Reduce inflammation
19. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Paclitaxel
Natural substance from
the bark of (Taxus Brevifolia)
Western Yew tree
Originally developed and used as a
cancer drug to stop cell proliferation
X
20. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Mechanism of Action
Normal cell cycle
PTX effect on cell cycle
A normal cell cycle is when a cell replicates into two new cells.
Paclitaxel stops the cell cycle in phase M (mitosis) and therefore prevents the cell from
replicating into two new cells
21. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Intended use
The Zilver PTX Drug Eluting Peripheral Stent is intended for use in
the treatment of…
symptomatic vascular disease of the above-the-knee
femoropopliteal arteries
having reference…
vessel diameter from 4 mm to 7 mm.
To avoid involvement of the common femoral artery, the proximal
end of the stent should be placed…
at least 1 cm below the origin of the superficial femoral artery.
To avoid involvement of the below-the-knee popliteal artery, the
distal end of the stent should be placed…
above the plane of the femoral epicondyles.
22. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Stent sizing
• Sizing recommendations are similar to standard
bare metal stents.
• Measure the diameter of the reference vessel
(proximal and distal to the lesion) and use the
largest reference diameter as your basis for
choosing the appropriate stent size.
• The stent size should be selected so that the
unconstrained stent diameter is at least 1 mm larger
than the reference vessel diameter and no more
than 2 mm larger than the reference vessel
diameter.
23. COMPANY CONFIDENTIAL. DO NOT COPY. NOT FOR EXTERNAL DISTRIBUTION.
Available product configurations
Product Configurations
Stent diameters 5, 6, 7 and 8 mm
Stent length 40, 60, 80, 100 and 120 mm
Delivery system 6 Fr
Delivery system length 80 cm and 125 cm
26. 27
5-year Freedom from TLR
Zilver PTX vs. Standard Care
83.1%
67.6%
p < 0.01
log-rank
Zilver PTX
Optimal PTA
+ BMS
At 5 years, Zilver PTX demonstrates a 48% reduction
in reintervention compared to standard care
27. 28
5-year Primary Patency (PSVR < 2.0)
Zilver PTX vs. Standard Care
Zilver PTX
Optimal PTA
+ BMS
66.4%
43.4%
p < 0.01
log-rank
At 5 years, Zilver PTX demonstrates a 41% reduction
in restenosis compared to standard care
28. 29
5-year Primary Patency (PSVR < 2.0)
Zilver PTX vs. Standard Care
Zilver PTX
Optimal PTA
+ BMS
66.4%
43.4%
From 1-5 years, the relative
separation increases by 35%
29. 31
5-year Primary Patency (PSVR < 2.0)
Provisional Zilver PTX vs. BMS
Provisional BMS
Provisional
Zilver PTX
72.4%
53.0%
p = 0.03
log-rank
At 5 years, Zilver PTX demonstrates a 41% reduction
in restenosis compared to BMS
Ni Ti N O L
Nitinol is an alloy between Nickel and Titanium
All Cooks zilver stents platform is with Open Cell design.
Even though we designed more tie bars we did not compromissed with the flexibility
And still provids better result for enhancing the axial (compression) fatigue/fracture rate.
Explain that from a sales perceptive – it is always the physicians preferences this the most important.
We do not mind if he use a SX or BX stent.
Common iliac
Se ”Papir”
Late 1980s: Cook starts working on DES in the with coronary stents
Mid 1990s: Cook begins working on paclitaxel-coated coronary DES
Demonstrated effectiveness in two clinical studies (ASPECT and ELUTES) using a similar polymer-free paclitaxel coating as that on the Zilver PTX
ASPECT: Randomized Clinical Study with approximately 60 patients each with bare metal and paclitaxel-coated Supra G stents. Effectiveness clearly demonstrated with 6-month restenosis rates of 27% and 4%, respectively
ELUTES: Randomized Clinical Study with approximately 40 patients each with bare metal and paclitaxel-coated V-Flex Plus stents. Effectiveness clearly demonstrated with 6-month restenosis rates of 21% and 3%, respectively
Obtained CE Mark and commercialized the V-Flex Plus PTX coronary stent in Europe
2000 Devt work ZPTX, Randomized 2005
2012: Japan(1)/USA(2)
The intended use for Zilver PTX is for the treatment of de novo or restenostic symptomatic lesions in the above the knee fempop arteries.
The preliminary sizes available will be for lesions 4-6 mm in diameter and lengths up to 140 mm per limb and 280 mm per patient.
(Vessel size 4-6 mm of SFA)
Stent sizing can be determined exactly as you would for BMS by measuring the RVD and upsizing the stent at least 1 mm larger and no more than 2 mm larger than it.
Cook wants to make Zilver PTX available to as many patients as possible. Therefore, initially, only two sizes will be available to work with supplying the demand. That will be the 6 x 80 and the 7 x 80 on a 6 Fr, 125 cm delivery system. We will continue to expand the sizes as we move forward. (40, 60 mm lengths, 8 mm diameter, longer lengths)
RCT: 2005
SAT: 2006
Zilver PTX has a proven drug effect in the SFA.
Cook Medical would like offer training to hospital staff to help get them onboard with drug elution in the periphery.