Background

Treatment of bifurcation lesions is still a challenge. Different techniques have been published on how to approach bifurcations. Appropriate stent positioning just at the side branch ostium is difficult with conventional stent design. The Szabo technique (ST) allows anchoring of stents for exact positioning at ostial and bifurcated stenosis. For ST, it is necessary to alter the structure of the stent, with the risk of puncturing the balloon and loss of the stent if attempts are made to recover it.

Methods

Since 2007, we have been working with the Research and Development (R&D) department of Hexacath (Paris, France) on a stent with a dedicated strut to perform the ST. Titan 2 Bioactive Stent (BAS) platform was used; the two proximal rings of the Titan 2 have been reinforced to prevent deformation of the stent due to the tension of the anchor guide. Dedicated cell has a pivoting design that allows the pull back of the stent inside the guiding catheter. The new stent has been called Titan V BAS.

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