JOSTENT Coronary Stent Graft (International)

The JOSTENT Coronary Stent Graft has been constructed using a unique technique, whereby an ultra thin layer of expandable PTFE is placed between two stainless steel stents.

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Flexibility
The JOSTENT Flex design gives the JOSTENT Coronary Stent Graft its unique flexibility. The JOSTENT Flex is laser cut from a single piece of high-grade surgical steel tube. The stent is then polished leaving a smooth surface area with rounded struts.

Low Profile
The JOSTENT Coronary Stent Graft has a low crimped profile which is comparable to conventional stent systems. Expandable PTFE Graft Material The expandable PTFE Graft Material has been specifically developed by JOMED for integration into a stent graft system. The material is constructed to allow expansion in one direction, while remaining rigid in the other. The fully expanded JOSTENT Coronary Stent Graft retains its radial strength to resist vessel wall or lesion pressure. The JOSTENT Coronary Stent Graft has been constructed using a unique technique, whereby an ultra thin layer of expandable PTFE is placed between two stainless steel stents.

Easy expansion
The minimum expansion pressure is 14 atm in order to achieve optimal apposition to the vessel wall. The use of IVUS is strongly recommended. The use of IVUS is strongly recommended.

Radial strength
The minimum expansion pressure is 14 atm in order to achieve optimal apposition to the vessel wall.

The use of IVUS is strongly recommended.

Visibility
The JOSTENT Coronary Stent Graft has superior visibility.

Clinical Experience

Case 1: Ostial perforation of the saphenous vein graft on the M1 after implantation of two Wallstents (Fig. 1,2). Placement of a JOSTENT®Coronary Stent Graft and successful covering of the perforated bypass (Fig. 3).
Professor MD E. Grube, Siegburg Heart Center, Siegburg, Germany

Case 2: Long stenosis within the proximal part of the CABG (Fig.1). After high pressure (20 atm) post-stent dilatation, a free perforation occured at the aortic ostium with mediastinal hemorrhage (Fig. 2, arrow). JOSTENT Coronary Stent Graft implantation was carried out. Follow-up in 1 month (Fig. 3). Good angiographic result without clinical complications.
Professor MD E. Grube, Siegburg Heart Center, Siegburg, Germany

"A safe tool"
The JOSTENT Coronary Stent Graft combines a flexible stent with expandable PTFE graft material. It represents a choice in the acute cardiac situation of free perforation.

Perforation

Case 3: AMI due to occlusion mid LAD. Perforation after PTCA procedure of the LAD (Fig. 1). Placement of a JOSTENT Coronary Stent Graft (2.75 - 5 mm / 16 mm) at 16 atm. The result was satisfactory with no residual stenosis after two month (Fig. 2).
Dr. J. M. ten Berg, St. Antonius Hospital. Department of Cardiology Nieuwegein, The Netherlands.

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