A sheath is a vascular tube placed into the access artery, such as the femoral artery in the groin. A balloon catheter is a long, thin plastic tube with a tiny balloon at its tip. A stent is a small, metal mesh tube. Balloons and stents come in different sizes to match the size of the diseased artery.

What are self expanding stents used for?

The use of third-generation drug-eluting stents (DES) is currently the preferred method of treatment for different indications in patients with coronary artery disease. Self-expanding stents are routinely used in peripheral arterial disease, like external iliac and femoropopliteal percutaneous interventions.

What are balloon expandable stents?

The Assurant Cobalt® Balloon Expandable Stent System is designed to treat restenosis in the iliac artery by opening clogged arteries and restoring blood flow. The stent provides support to the artery after angioplasty.

What are self expanding stents?

Mechanical self-expanding stents are devices composed of stainless steel, which are compressed within a delivery catheter and rely on a mechanical “springlike” design to achieve expansion.

Is balloon angioplasty the same as stent?

Balloon angioplasty is a minimally invasive cardiac catheterization procedure used to open narrow and blocked arteries. Heart stents are tiny lattice-shaped metal tubes that serve as scaffolding to keep the artery open.

How effective is balloon angioplasty?

By keeping the vessel open, the stent helps to improve blood flow to the heart muscle and reduce the pain of angina. Stent procedures are usually used along with balloon angioplasty. In fact, about 80% of patients who have balloon angioplasty will have a stent placed as well.

How do balloon expandable and expanding stents work?

How do self expanding stents made from nitinol work?

Nitinol stents are manufactured to a size slightly larger than the target vessel size and delivered constrained in a delivery system. After deployment, they position themselves against the vessel wall with a low, chronic outward force. They resist outside forces with a significantly higher radial resistive force.

Why are stents made of nitinol?

Most PAD stents therefore are made of self-expandable shape memory Nitinol that allows the device to expand to a pre-set shape once released from the catheter without the assistance of a balloon, and, most importantly, return to this shape after being deformed during limb flexion.

How does a stent expand?

The stent expands when the balloon is inflated, locks into place, and forms a permanent scaffold to hold the artery open after the balloon is deflated and removed.

What is a Taxus stent?

The TAXUS Express Stent was designed by coating the Express® Stent with the drug paclitaxel, and the polymer. The paclitaxel/polymer coating has been designed to allow for a consistent and controlled release of the drug from the stent surface into the artery walls, to minimize release into the blood stream.

What is a covered stent?

Covered stents are composed of fabric or graft material, such as polytetrafluoroethylene (PTFE), covering a metal stent. They have various clinical applications in peripheral arterial disease management.

What are the disadvantages of stents?

damage to the artery where the sheath was inserted. allergic reaction to the contrast agent used during the procedure. damage to an artery in the heart. excessive bleeding requiring a blood transfusion.

What is foreshortening stent?

Stent foreshortening defined as the difference between the desired and the actual stent length after deployment is a part of these studies. Cases with radiologic overt stent compression and elongation after deployment are reported and termed longitudinal stent deformation (LSD) [4].

What medication is in drug eluting stent?

This is the TAXUS Express2Paclitaxel-Eluting Coronary Stent System, which releases paclitaxel. A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary arteries that slowly releases a drug to block cell proliferation.

Is a stent a balloon?

Like in any angioplasty procedure, the stent is mounted onto a tiny balloon that is opened inside of a coronary artery to push back plaque and to restore blood flow. After the plaque is compressed against the arterial wall, the stent is fully expanded into position, acting as miniature scaffolding for the artery.

How long can a balloon pump stay in?

The catheter connects to a computer that controls the rate of inflation and deflation. While most patients only use the IABP for a few days, it can stay in place for up to a month.

How much blockage requires a stent?

By clinical guidelines, an artery should be clogged at least 70 percent before a stent should be placed, Resar said. “A 50 percent blockage doesn’t need to be stented,” he said.

How long does it take to recover from balloon angioplasty?

The general angioplasty recovery time is about two weeks, but this can change based on your condition. Take Your Medication: It’s essential to stick to your medication schedule.

What is sinuplasty ballooning?

Balloon sinuplasty is an innovative, in-office procedure where your Houston ENT doctor uses a small catheter and inserts it into your sinuses and inflates. This catheter opens your sinuses up by gently nudging them and offers long-lasting relief.

How is ballooning done?

What are bare metal stents made of?

Current bare metal stents (BMSs) are made of stainless steel, cobalt chromium, or platinum chromium. Stainless steel BMSs were the first devices used for coronary stenting.

What characteristics of nitinol make it an optimal material choice for stents?

Nitinol is able to handle these external forces better than other materials due to its characteristic properties of superelasticity and stress hysteresis. Due to kink resistance, these stents are well suited for the tortuous vessel pathways of peripheral arteries.

Is nitinol stent drug eluting?

This paclitaxel-eluting self-expanding stent is made of a z-shaped mesh linked by small interconnections (Figure 16(c)).

Is a heart stent considered surgery?

Angioplasty and stent placement is a procedure that’s used to help open narrow or blocked arteries. Learn more about this minimally invasive procedure. Drug-eluting stents can help keep your coronary arteries open.

Do all stents have nickel in them?

In varying amounts, all stents contain nickel (10 percent to 35 percent) and chromium as chromate (18 percent to 20 percent). Nickel allergy is one of the most common causes of allergic contact dermatitis and is thought to affect about 8 percent of the population.

Is nitinol wire a solution?

Generally speaking, nitinol is expensive, and difficult to process and machine. But its unique properties, such as superelasticity, shape memory, biocompatibility and fatigue resistance, make it essential for medical applications. For some applications, therefore, it is the only possible solution.

What is the procedure for a stent?

To put a stent in, your doctor makes a small cut in a blood vessel in your groin, arm, or neck. They then thread a thin tube called a catheter through the blood vessel to the blocked artery. The tube has a tiny balloon at the end of it. Your doctor inflates the balloon inside your blocked artery.