title: Feasibility and Efficacy of Herculink Elite ((TM)) Biliary Stent Implantation in Large Coronary Arteries (≥ 5 mm) and Venous Conduits: An Observational Study.
abstract: OBJECTIVE
  Percutaneous coronary intervention (PCI) in patients with lesions of large calibre coronary arteries (≥ 5 mm) and saphenous venous grafts (≥ 5 mm) can be challenging. There are no separate guidelines available to treat these vessels with PCI. Standard coronary stents of 4 mm diameter are used to treat these lesions conventionally but carry the risk of under deployment, distortion of stent architecture and future stent thrombosis even if they are subsequently expanded beyond 5 mm.
  
  
  RESULTS
  Biliary stents (Herculink Elite™) provide a better alternative to standard coronary stents in these patients. These stents are of larger diameter (5-7 mm) and can be safely delivered over a 6 French sheath. In our case series, we demonstrate the use of intravascular ultrasound examination to confirm that biliary stents provide improved stent strut apposition within the coronary artery associated with extremely low repeat revascularisation rates.
  
  
  CONCLUSIONS
  Our paper highlights that PCI of lesions in patients with large calibre coronary arteries can successfully be achieved using biliary stents.
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.|Southwest Cardiothoracic Centre, Derriford Hospital, Plymouth Hospitals NHS Trust, Plymouth, United Kingdom.
authors.forename: Girish N
authors.initials: GN
authors.lastname: Viswanathan
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Jehangir N
authors.initials: JN
authors.lastname: Din
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Rosie A
authors.initials: RA
authors.lastname: Swallow
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Terry M
authors.initials: TM
authors.lastname: Levy
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Stephen
authors.initials: S
authors.lastname: Boyd
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Suneel
authors.initials: S
authors.lastname: Talwar
authors.affiliation: Dorset Cardiac Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom.
authors.forename: Peter D
authors.initials: PD
authors.lastname: O'Kane
mesh_terms: D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000000981:diagnostic imaging; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention; D011474:Prosthesis Design; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000637:transplantation; D015607:Stents; D018084:Ultrasonography, Interventional