{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T16:36:31Z","timestamp":1773246991729,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,11,9]],"date-time":"2012-11-09T00:00:00Z","timestamp":1352419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p><jats:styled-content>Objectives:<\/jats:styled-content> To assess the longitudinal compression behavior of platinum\u2010chromium everolimus\u2010eluting stents, evaluate frequency of inadvertent longitudinal compression during percutaneous intervention, and define patient\u2010 and lesion\u2010related predictors of this complication. <jats:italic>Background<\/jats:italic>: Platinum\u2010chromium stents of Element family have unique design features to improve flexibility that may, however, impair longitudinal stability. Incidence of longitudinal stent compression during implantation and predictors for this complication are not well understood. <jats:styled-content>Methods<\/jats:styled-content>: Five contemporary stent platforms were longitudinally compressed in a bench test experiment, and spring constant, yield force, and ultimate strength were calculated from force\u2010strain curves. We also evaluated all coronary cases treated with an Element stent from January 1, 2010, to October 31, 2011, for documented longitudinal compression. We compared baseline characteristics and periprocedural data between patients with and without longitudinal stent compression and assessed predictors for this event by multiple logistic regression models. <jats:styled-content>Results<\/jats:styled-content>: Yield force and ultimate strength were significantly lower for the Element compared with all other tested stents. In 20 patients (1.4%) and 20 lesions (0.7%) from 1,392 cases with 2,839 atherosclerotic lesions longitudinal stent compression was reported. Ostial segments, number of stents, and the presence of a bifurcation were significant predictors (adjusted odds ratios [95% confidence intervals]: 8.33 [3.30\u201321.28], 1.57 [1.01\u20132.45], 3.57 [1.36\u20139.35], respectively). <jats:styled-content>Conclusion<\/jats:styled-content>: The Element stent exhibits the lowest overall longitudinal strength compared with four contemporary platforms. Longitudinal compression of the Element stent is a rare complication and occurs more frequently in ostial or bifurcation lesions and with multiple stents. \u00a9 2012 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ccd.24472","type":"journal-article","created":{"date-parts":[[2012,5,14]],"date-time":"2012-05-14T10:08:18Z","timestamp":1336990098000},"source":"Crossref","is-referenced-by-count":33,"title":["Longitudinal compression of the platinum\u2010chromium everolimus\u2010eluting stent during coronary implantation: Predisposing mechanical properties, incidence, and predictors in a large patient cohort"],"prefix":"10.1002","volume":"81","author":[{"given":"Gregor","family":"Leibundgut","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Gick","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurel","family":"Toma","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Valina","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"L\u00f6ffelhardt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinz","family":"Joachim B\u00fcttner","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz\u2010Josef","family":"Neumann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Kardiologie und Angiologie II Unversit\u00e4ts\u2010Herzzentrum Freiburg \u2013 Bad Krozingen Suedring 15 79189 Bad Krozingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,11,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I7A135"},{"key":"e_1_2_6_3_1","first-page":"20111018","article-title":"Longitudinal stent deformation: a retrospective analysis of frequency and mechanisms","author":"Williams PD","year":"2011","journal-title":"EuroIntervention."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8183.2011.00699.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.02.047"},{"key":"e_1_2_6_6_1","unstructured":"FerencM NeumannF\u2010J. Randomised comparison of T\u2010stenting versus Culotte technique for the treatment of de novo coronary bifurcation lesion with drug\u2010eluting stents (BBK2). Available at:http:\/\/clinicaltrials.gov\/ct2\/show\/NCT01267838. Accessed January 2 2012."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.21832"},{"key":"e_1_2_6_8_1","article-title":"Engineering assessment of the longitudinal compression behaviour of contemporary coronary stents","author":"Prabhu S","year":"2011","journal-title":"EuroIntervention"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-010-0022-9"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.11.002"},{"key":"e_1_2_6_11_1","article-title":"Coronary stent longitudinal deformation by compression: is this a new global stent failure, a specific failure of a particular stent design or simply an angiographic detection of an exceptional PCI complication?","author":"Finet G","year":"2011","journal-title":"EuroIntervention"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.02.016"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.04.011"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fccd.24472","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.24472","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,22]],"date-time":"2023-11-22T00:16:55Z","timestamp":1700612215000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.24472"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,11,9]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["10.1002\/ccd.24472"],"URL":"https:\/\/doi.org\/10.1002\/ccd.24472","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"value":"1522-1946","type":"print"},{"value":"1522-726X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,11,9]]}}}