REVIEW   

Minerva Cardiology and Angiology 2021 April;69(2):201-14

DOI: 10.23736/S2724-5683.20.05167-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

STENTYS coronary system: current status and future direction

Marco GOLINO ¹, Silvia NUZZO ², Carlo BRIGUORI ¹ ✉

¹ Interventional Cardiology Unit, Mediterranea Cardiocentro, Naples, Italy; ² IRCCS SDN, Naples, Italy

Stentys self-apposing stent was designed to face complex lesions in the precincts of percutaneous coronary interventions. Nitinol platform and disconnectable struts were designed to provide a complete apposition on the vessel wall in challenging lesions such as significant tapering, primary angioplasty in ST segment elevation myocardial infarction and bifurcation. Stentys X-position S is a sirolimus eluting stent with a novel delivery system aiming to improve positioning. Clinical trials showed good results in terms of procedural success rate, clinical outcome and short-term strut apposition. Nevertheless, Stentys stent did not show superiority over the conventional balloon-expandable stents in the clinical outcomes. Authors underlined the importance of a learning curve and an adequate training period to get familiar with the device’s features. Future trials in an all-comer population using the novel X-Position S stent will confirm the preliminary findings and strengthen evidence in clinical practice.

KEY WORDS: Stents; Percutaneous coronary intervention; Heart