Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

D.Rizik, tryton breakfast symposium_real world applications

181 views

Published on

D2230 g v01 rev. 1 d.rizik, tryton breakfast symposium_real world applications

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

D.Rizik, tryton breakfast symposium_real world applications

  1. 1. Scottsdale-LincolnHealthNetwork Tryton Breakfast Symposium: Real World Applications David G. Rizik, M.D., F.A.C.C., F.S.C.A.I. Chief Scientific Officer Director of Structural & Coronary Interventions HonorHealth and the Scottsdale-Lincoln HealthNetwork HonorHealth/Scottsdale-LincolnHealthNetwork
  2. 2. Scottsdale-LincolnHealthNetwork Disclosure Statement • Abbott  Vascular:  Medical  Advisory   Board,  Research  &  Education   Support. • Boston  Scientific:  Executive   Physician  Council,  Research  &   Education  Support
  3. 3. Scottsdale-LincolnHealthNetwork Tryton Side Branch Stent “Save  the  Side  Branch  Strategy” Open strut architecture
  4. 4. Scottsdale-LincolnHealthNetwork Phantom Model Deployment Tryton  Side  Branch  Stent
  5. 5. Scottsdale-LincolnHealthNetwork Tryton Deployment Sequence 1.  Wire  both  vessels  and  pre-­dilate  SB 2.  Position  Tryton 3.  Perform  P.O.T. 4.  Position  DES  and  remove  ‘jailed’  wire 5.  Deploy  DES  and  re-­wire  SB 6.  Simultaneous  Kissing  Balloon
  6. 6. Scottsdale-LincolnHealthNetwork Tryton Case
  7. 7. Scottsdale-LincolnHealthNetwork
  8. 8. Scottsdale-LincolnHealthNetwork
  9. 9. Scottsdale-LincolnHealthNetwork
  10. 10. Scottsdale-LincolnHealthNetwork Dedicated SB Stent: ? Value • Value:  Bringing  the  predictability &   durability seen  in  straight  lesions  to   bifurcation  lesions
  11. 11. Scottsdale-LincolnHealthNetwork Provisional  (n=  143) Tryton  (n=  146) Dedicated Stent: Predictability Near elimination of bailout stenting Généreux et  al.  Catheter  Cardiovasc Interv.  2015   Tryton  IDE  Trial  Intended  Population
  12. 12. Scottsdale-LincolnHealthNetwork Which Lesion? Significant Side Branch • Side  Branch  Size:   Significant • Angle:     Narrow  and  Wide • Step-­up:     Large  and  Small
  13. 13. Scottsdale-LincolnHealthNetwork Which Lesion? Significant • Significant – Appropriate  for  a  2.5  mm  diameter  stent – >2.25  mm  by  visual  estimate
  14. 14. Scottsdale-LincolnHealthNetwork
  15. 15. Scottsdale-LincolnHealthNetwork Angle:    Wide Angle:    Narrow Which Lesion? Angle
  16. 16. Scottsdale-LincolnHealthNetwork SB-­MB  Step-­up:    Large   SB-­MB  Step-­up:    Small Which Lesion? SB-MB Step-up
  17. 17. Scottsdale-LincolnHealthNetwork Conclusion • When  a  dedicated  SB  Stent? Bifurcation  lesions  with  important  Side   Branches • Procedural  Predictability • Long  term  Durability

×