Coronary artery stenting has evolved substantially and the performance (and particularly the deliverability) of coronary stents has improved such that they are now the primary mode of revascularisation for almost all PCIs. The new Svelte™ stent-on-a-wire (SOAW) delivery system represents one of the first substantive innovations in stent delivery systems (SDS) in more than a decade. Using a shapeable ‘fixed wire’ as an integral part of the SDS provides a significant reduction in SDS profile compared with conventional monorail or OTW SDS. This SOAW SDS facilitates direct stenting, and has the potential for significant procedural cost savings by eliminating the need for a coronary guidewire, balloon pre-dilatation and/or post-dilatation, a reduction in contrast use and overall procedure time.
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