Stent SYNERGY
Transkrypt
Stent SYNERGY
Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations. SYNERGY and Promus PREMIER are unregistered or registered trademarks of Boston Scientific or its affiliates. All other trademarks are property of their respective owners.. This material is not for use in the U.S., France or Japan. IC-215308-AG OCT2015 1 of 84 Stent SYNERGY™ PEWNE GOJENIE Konstrukcja – pokrycie abluminalne1 Szybkie gojenie2 Skrócona obecność polimeru3 Thin Abluminal Coating 1. Eppihimer M, PhD. Impact of Polymer Type and Location on Stent Thrombogenicity and Endothelial Cell Coverage. EuroPCR 2013. 2. Image provided by Jose M. De la Torre Hernandez, MD, PhD. 3. Chen YL, PhD, Foss A, PhD, Eppihimer M, PhD, et al. Characterization of In Vivo Poly (DL-lactic-co-glycolic acid) Bioabsorption from a Drug-Eluting Stent. EuroPCR 2012. This material is not for use in the U.S., France or Japan. IC-215303-AF MAY2015. Stent SYNERGY™ This material is not for use in the U.S., France or Japan. IC-215303-AF MAY2015. Stent SYNERGY™ DES SYNERGY™ zapewnia gojenie w ciągu trzech miesięcy3 • Możliwość przeprężenia1, siła radialna2 i szybkie gojenie3 powodują że stent SYNERGY™ jest świetną opcją do CTO4 i pnia LTW. 1. 2. 3. 4. Labeled Post-Dilatation Limits. SYNERGY Stent DFU Bench testing performed by Boston Scientific Corporation. Data on file at Boston Scientific. All stents 2.5mm. SYNERGY Stent n=5, all other stents are n=3. Bench test results not necessarily indicative of clinical performance. EVOLVE Clinical trial at 4 year. Presented by Ian T. Meredith AM, MBBS, PhD, PCR 2015. Only the “full dose” SYNERGY Stent results are shown. EVOLVE II Clinical Trial. Presented by Dean J. Kereiakes, MD at AHA 2014. EVOLVE II DM Clinical Trial. Presented by Stefann Windecker, MD at PCR 2015. Adapted from a presentation by J. M. de la Torre, MD at PCR 2015. Wilson G, MD. ACC 2011. For treatment of occluded vessels, contrast visualization of the distal vessel to confirm position of guidewire within the lumen is recommended The expanded indications (bifurcation, ISR, LM, OL and CTO) are for CE Mark countries only © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 2 of 13 Stent SYNERGY™ Stent SYNERGY™ zapewnia gojenie w ciągu trzech miesięcy3 • Dzięki unikalnej geometrii DES SYNERGY™ jest optymalnym stentem do bifurkacji5 1. 2. 3. 4. 5. Labeled Post-Dilatation Limits. SYNERGY Stent DFU Bench testing performed by Boston Scientific Corporation. Data on file at Boston Scientific. All stents 2.5mm. SYNERGY Stent n=5, all other stents are n=3. Bench test results not necessarily indicative of clinical performance. EVOLVE Clinical trial at 4 year. Presented by Ian T. Meredith AM, MBBS, PhD, PCR 2015. Only the “full dose” SYNERGY Stent results are shown. EVOLVE II Clinical Trial. Presented by Dean J. Kereiakes, MD at AHA 2014. EVOLVE II DM Clinical Trial. Presented by Stefann Windecker, MD at PCR 2015. Adapted from a presentation by J. M. de la Torre, MD at PCR 2015. Wilson G, MD. ACC 2011. For treatment of occluded vessels, contrast visualization of the distal vessel to confirm position of guidewire within the lumen is recommended When treating Bifurcations, care must be exercised to access the secondary vessel via the repeating geometry in the body of the stent within the primary vessel. The expanded indications (bifurcation, ISR, LM, OL and CTO) are for CE Mark countries only © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 2 of 13 SYNERGY™ Nowe zarejestrowane wskazania CE Mark Diabetycy Zmiany ostialne Niezabepieczony pień lewej tętnicy wieńcowej Okluzje1 Restenoza w stencie2 Zawał Bifurkacje3 1. 2. For treatment of occluded vessels, contrast visualization of the distal vessel to confirm position of guidewire within the lumen is recommended. For in stent restenosis, where details of the original stent are known, the expanded inner diameter of the new stent should not exceed the dilation limits of the original stent. Where details of the original stent are not known, the expanded inner diameter of the new stent should not exceed the reference vessel diameter. 3. When treating Bifurcations, care must be exercised to access the secondary vessel via the repeating geometry in the body of the stent within the primary vessel. Indications, contraindications, warnings and instructions for use can be found in the product labeling supplied with each device. Information for the use only in countries with applicable health authority product registrations. The expanded indications (bifurcation, ISR, LM, OL and CTO) are for CE Mark countries only © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 3 of 13 SYNERGY™ zakres postdylatacji1 4,00mm → 5,75mm (mm) 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00 5.25 5.50 5.75 2.25 to 2.75 SYNERGY Stent System 3.00 to 3.50 4.00 2.25 Promus PREMIER™ Stent System 2.50 to 2.75 3.00 to 3.50 4.00 2.25 to 2.50 Xience Xpedition™/Alpine™ Stent System Resolute Integrity™ Stent System 2.75 to 3.25 3.50 to 4.00 2.25 to 2.75 3.00 to 4.00 2.25 to 2.50 Resolute Onyx™ Stent System 2.75 to 3.00 3.50 to 4.00 Labeled Nominal: Labeled Post-Dil Limit: 1. SYNERGY Stent, Promus PREMIER Stent, Xience Xpedition Stent, Xience Alpine Stent, Resolute Integrity Stent and Resolute Onyx Stent Systems DFU. © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 7 of 13 Stent SYNERGY™ Szybkie gojenie DES SYNERGY™ zapewnia gojenie w ciągu 3 miesięcy oraz niskie ryzyko MACE u pacjentów złożonych1,2,3,4 Pokrycie 94% powierzchni stentu w ciągu 3 miesięcy u pacjentów z chorobą wielonaczyniową1 1. 2. 3. 4. Adapted from a presentation by J. M. de la Torre, MD at PCR 2015. The safety and performance of the SYNERGY Stent System have not been established in patients with multi-vessel diseases. And pre-clinical study Wilson G, MD. ACC 2011. EVOLVE Clinical trial at 4 year. Presented by Ian T. Meredith AM, MBBS, PhD, PCR 2015. Only the “full dose” SYNERGY Stent results are shown. EVOLVE II Clinical Trial. Presented by Dean J. Kereiakes, MD at AHA 2014. EVOLVE II Diabetes Substudy . Presented by Stefann Windecker, MD at PCR 2015. © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 11 of 13 Stent SYNERGY™ Szybkie gojenie DES SYNERGY™ zapewnia gojenie w ciągu 3 miesięcy oraz niskie ryzyko MACE u pacjentów złożonych1,2,2,4 0% zakrzepicy po 4 latach w EVOLVE2 0% zakrzepicy po 24 godzinach w badaniu klinicznym EVOLVE II3 1. 2. 3. 4. Adapted from a presentation by J. M. de la Torre, MD at PCR 2015. The safety and performance of the SYNERGY Stent System have not been established in patients with multi-vessel diseases. And pre-clinical study Wilson G, MD. ACC 2011. EVOLVE Clinical trial at 4 year. Presented by Ian T. Meredith AM, MBBS, PhD, PCR 2015. Only the “full dose” SYNERGY Stent results are shown. EVOLVE II Clinical Trial. Presented by Dean J. Kereiakes, MD at AHA 2014. EVOLVE II Diabetes Substudy . Presented by Stefann Windecker, MD at PCR 2015. © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 11 of 13 Stent SYNERGY™ Szybkie gojenie DES SYNERGY™ zapewnia gojenie w ciągu 3 miesięcy oraz niskie ryzyko MACE u pacjentów złożonych1,2,3,4 1,1% zakrzepicy w EVOLVE II u diabetyków4 po 12 miesiącach 1. 2. 3. 4. Adapted from a presentation by J. M. de la Torre, MD at PCR 2015. The safety and performance of the SYNERGY Stent System have not been established in patients with multi-vessel diseases. And pre-clinical study Wilson G, MD. ACC 2011. EVOLVE Clinical trial at 4 year. Presented by Ian T. Meredith AM, MBBS, PhD, PCR 2015. Only the “full dose” SYNERGY Stent results are shown. EVOLVE II Clinical Trial. Presented by Dean J. Kereiakes, MD at AHA 2014. EVOLVE II Diabetes Substudy . Presented by Stefann Windecker, MD at PCR 2015. © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. This material is not for use in the U.S., France or Japan. IC-332103-AA JUL 2015 11 of 13 Stent SYNERGY™ Możliwość skrócenia DAPT do 1 miesiąca Thin Abluminal Coating ^ The updated Directions for Use will also include an update on the current “Pre-and Post-Procedure Antiplatelet Regimen”: In selected higher risk patients where the physician determines that the risks outweigh the benefits of continued DAPT, it may be reasonable to interrupt or discontinue therapy after 1 month based on low stent thrombosis rates and no observed increased risk for stent thrombosis as shown in the current literature. Patients who require premature discontinuation of antiplatelet therapy should be monitored closely and have their antiplatelet therapy restarted as soon as possible per the discretion of their treating physicians This material is not for use in the U.S., France or Japan. IC-215308-AG OCT2015 11 of 84