D.Rizik, tryton breakfast symposium_real world applications
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D.Rizik, tryton breakfast symposium_real world applications
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D2230 g v01 rev. 1 d.rizik, tryton breakfast symposium_real world applications
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D.Rizik, tryton breakfast symposium_real world applications
- 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. Scottsdale-LincolnHealthNetwork Disclosure Statement • Abbott Vascular: Medical Advisory Board, Research & Education Support. • Boston Scientific: Executive Physician Council, Research & Education Support
- 3. Scottsdale-LincolnHealthNetwork Tryton Side Branch Stent “Save the Side Branch Strategy” Open strut architecture
- 4. Scottsdale-LincolnHealthNetwork Phantom Model Deployment Tryton Side Branch Stent
- 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
- 10. Scottsdale-LincolnHealthNetwork Dedicated SB Stent: ? Value • Value: Bringing the predictability & durability seen in straight lesions to bifurcation lesions
- 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. Scottsdale-LincolnHealthNetwork Which Lesion? Significant Side Branch • Side Branch Size: Significant • Angle: Narrow and Wide • Step-up: Large and Small
- 13. Scottsdale-LincolnHealthNetwork Which Lesion? Significant • Significant – Appropriate for a 2.5 mm diameter stent – >2.25 mm by visual estimate
- 15. Scottsdale-LincolnHealthNetwork Angle: Wide Angle: Narrow Which Lesion? Angle
- 16. Scottsdale-LincolnHealthNetwork SB-MB Step-up: Large SB-MB Step-up: Small Which Lesion? SB-MB Step-up
- 17. Scottsdale-LincolnHealthNetwork Conclusion • When a dedicated SB Stent? Bifurcation lesions with important Side Branches • Procedural Predictability • Long term Durability