Key result
Tryton Side Branch Stent shows promising clinical outcomes for bifurcation PCI in pooled analysis.
Why the study?
PCI of coronary bifurcation lesions remains associated with adverse clinical events compared with non-bifurcation PCI, motivating development of dedicated bifurcation devices.
Does the Tryton Side Branch Stent improve clinical outcomes in patients with coronary bifurcation lesions compared to provisional single stent strategy?
Does the Tryton Side Branch Stent improve clinical outcomes in patients with coronary bifurcation lesions compared to provisional single stent strategy?
The Tryton Side Branch Stent shows promising clinical outcomes for coronary bifurcation lesions in registry data, with a pivotal randomized trial underway to challenge the provisional single stent strategy.
Coronary bifurcation lesions account for approximately 15% of all percutaneous coronary interventions (PCI) performed. Although clinical outcomes after PCI have been improved considerably, PCI of bifurcation lesions remains to be associated with adverse clinical events, when compared with non-bifurcation PCI. Therefore, several dedicated bifurcation devices have been developed to improve clinical outcomes. The Tryton Side Branch Stent(™) is such device and is used in combination with a regular tubular balloon expandable stent in the main branch. Multiple single and multicenter registries and a patient pooled analysis including 900 patients have shown promising results regarding clinical outcomes after bifurcation PCI with Tryton. The pivotal Tryton IDE randomized trial is currently underway comparing the Tryton stent with side branch balloon angioplasty as side branch treatment in bifurcation lesions challenging the current dogma of provisional single stent strategy as treatment for coronary bifurcation lesions.
No takes yet. Share an insight, caveat, or question.
Grundeken et al. (2013) conducted a review in Coronary bifurcation lesions (n=900). Tryton Side Branch Stent vs. side branch balloon angioplasty was evaluated.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: