{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:39:35Z","timestamp":1747147175642,"version":"3.40.5"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,3,23]],"date-time":"2019-03-23T00:00:00Z","timestamp":1553299200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aim is to assess the experience in the Netherlands using the Xposition S self\u2010apposing stent in complex coronary lesions in clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Treatment of complex coronary lesions could be accompanied with stent sizing difficulties and complications, particularly due to vessel overdilation or stent underexpansion. The self\u2010apposing feature of the Xposition S stent (STENTYS, Paris, France) supports good strut apposition in complex anatomies and allows for an increase in diameter after implantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this real\u2010world registry, data from patients treated with Xposition S in four Dutch clinical sites were prospectively collected and analyzed. Any patient suitable for implantation with Xposition S according to current recommendations was enrolled. Primary endpoint was major adverse cardiac events (MACE) at 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Between 2015 and 2018, data from 251 patients were collected. Clinical presentation was an acute coronary syndrome in majority of the patients (76.9%). Main angiographic indications were lesions in aneurysmatic or ectatic vessels (32.3%), thrombus containing lesions (13.1%), and bifurcation\/left main stenosis (10.4%). Most of the target lesions (TLs) were classified as AHA\/ACC Type C (53.6%). Despite lesion complexity, device was successfully implanted at TL in 96.8%. MACE rate, reported on patients having completed 1\u2010year follow\u2010up (<jats:italic>n<\/jats:italic>\u2009=\u2009203), was 6.6%, with low rate of definite\/probable stent thrombosis (1.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In clinical practice of several Dutch sites, STENTYS Xposition S showed good procedural results and low 1\u2010year clinical events rate, despite complex coronary anatomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.28192","type":"journal-article","created":{"date-parts":[[2019,3,23]],"date-time":"2019-03-23T13:49:54Z","timestamp":1553348994000},"page":"966-971","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Dutch multicenter experience using the STENTYS Xposition S self\u2010apposing stent in complex coronary lesions"],"prefix":"10.1002","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6051-1011","authenticated-orcid":false,"given":"Selina","family":"Vlieger","sequence":"first","affiliation":[{"name":"Department of Cardiology Albert Schweitzer Ziekenhuis  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cihan","family":"Simsek","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Centre  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana\u00efs","family":"Balland","sequence":"additional","affiliation":[{"name":"STENTYS, STENTYS SA  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Somi","sequence":"additional","affiliation":[{"name":"Department of Cardiology HAGA Ziekenhuis  Den Haag The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Jessurun","sequence":"additional","affiliation":[{"name":"Department of Cardiology Treant Zorggroep  Emmen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Amoroso","sequence":"additional","affiliation":[{"name":"Department of Cardiology Onze Lieve Vrouwe Gasthuis  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Floris","family":"Kauer","sequence":"additional","affiliation":[{"name":"Department of Cardiology Albert Schweitzer Ziekenhuis  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert\u2010Jan","family":"van Geuns","sequence":"additional","affiliation":[{"name":"Department of Cardiology Albert Schweitzer Ziekenhuis  Dordrecht The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-2994","authenticated-orcid":false,"given":"Alexander","family":"IJsselmuiden","sequence":"additional","affiliation":[{"name":"Department of Cardiology Amphia Ziekenhuis  Breda The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJY15M02_08"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12471-017-1066-0"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.10.012"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2010.02.068"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2011.07.004"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv711"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV7I4A71"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2012.08.016"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJY15M05_07"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.685313"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.06.097"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)61244-1"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJV8I1A17"}],"container-title":["Catheterization 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