XLIMUS®

Sirolimus Eluting
Coronary Stent System

Selected patient case reports demonstrate the clinically outstanding XLIMUS stenting performance!

Case 1

  • Male, 65 years old
  • Systemic hypertension.
  • Chronic kidney disease (GFR = 59 ml/min/1.73m2)
  • Unstable angina
  • TnI = 0.1 ng/mL
  • CKMB = 2 ng/mL
  • Good left ventricular ejection fraction (60%)
  • SPECT: large antero-apical ischemia
  1. Simultaneous injection from the left and right coronary artery. Blant total occlusion in the middle semgnet of the left anterior descending artery (LAD), just above the origin of a large septal branch. The occluded segment appears long and very calcific.
  1. Successful recanalization of the LAD with the parallel guide technique (Confianza Pro 9) on the over-the-wire balloon.
  1. Initial recanalization with compliant balloon (2.5 x 25 mm). Good flow in the middle and distal LAD.
  1. DES implantation:
    1) XLimus 2.75 x 16 mm middle segment
  1. DES implantation: 2) XLimus 3.0 x 28 mm proximal
  1. Final result
    Good final flow in the LAD (TIMI 3)

    IVUS examination: Optimal stent expansion.
    Final minimal stent CSA = 8.79 mm² in the proximal LAD and 6.55 mm² in the middle LAD

Case 2

  • Female, 82 years old
  • Systemic hypertension; dislidipemia;
  • Diabetes mellitus
  • Severe angina (CCS = III)
  • Left ventricular ejection fraction = 60%
  • CardioTC = total occlusion in the middle segment
    of the left anterior descending artery (LAD)
  1. Total occlusion in the middle segment of the LAD, just after the oring of a large septal branch.
  1. Recanalization with a parallel guide techique and eventual balloon predilatation with compliant balloon. Good distal flow (TIMI 3)
  1. DES implantation XLimus 2.50 x 40 mm. This stent showed an excellent flexibility and pushability: indeed it avanced very easily throught the occluded semgent.
  1. Final result

Case 3

  • Male, 58 years old
  • Systemic hypertension; dislidipemia;
  • Diabetes mellitus
  • Stable effort angina (CCS = II)
  • Left ventricular ejection fraction = 60%
  • Previous coronary artery bypass surgery for severe multivessel disease
    (LIMA on LAD = patent, SVG on obtuse marginal = occluded)
  1. Critical and calcific stenosis at the ostium and in the middle segment of the circumflex artery.
    There is also a severe bend in the proximal circumflex artery.
  1. Rotational atherectomy (burr 1.75 mm) was elòectively performed.
  1. Failure to advance a Resolute Integrity (2.50 x 12 mm) even with anchoring balloon.
  1. Failure to advance a Resolute Integrity (2.50 x 12 mm) even with the Guideline catheter.
  1. Successful and easy delivery of XLimus 3.5 x 24 mm in the proximal segment of the circumflex artery.
  1. Successful and easy delivery of XLimus 3.5 x 24 mm in the proximal segment of the circumflex artery.
  1. Final result