PATIENT GUIDE FOR TRYTON SIDE BRANCH STENT GUIDE FOR TRYTON SIDE BRANCH STENT ... , due to the...

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PATIENTGUIDEFOR

TRYTONSIDEBRANCHSTENT

Indications,contraindications,warningsandinstructionsforusecanbefoundinthelabelingsuppliedwitheachproduct.CAUTION:Federal(U.S.A.)lawrestrictstheseproductstosalebyorontheorderofaphysician.TRYTONSideBranchStentisaproductofTRYTONMedicalInc.

Patient Guide, TRYTON Side Branch Stent

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PATIENTINFORMATIONGUIDE............................................................................................................................................3CORONARYARTERYDISEASE(CAD)....................................................................................................................................4WHATISCAD?....................................................................................................................................................................................................4WHATARETHESYMPTOMSOFCAD?.............................................................................................................................................................4TREATMENTOFCAD.........................................................................................................................................................................................5CORONARYARTERYSTENTS.............................................................................................................................................................................6

TRYTONSIDEBRANCHSTENT...............................................................................................................................................6WHENTHETRYTONSTENTSHOULDNOTBEUSED(CONTRAINDICATIONS).......................................................7POTENTIALADVERSEEVENTSASSOCIATEDWITHTHETRYTONSIDEBRANCHSTENT..................................8THETRYTONCLINICALTRIALS.............................................................................................................................................9YOURCORONARYSTENTPROCEDURE.............................................................................................................................10HOWDOIPREPAREFORMYPROCEDURE?.................................................................................................................................................10

YOURTRYTONSIDEBRANCHSTENTPLACEMENTPROCEDURE.............................................................................10IMMEDIATELYAFTERPROCEDURE.................................................................................................................................................................12TAKEALLMEDICATIONSASINSTRUCTED....................................................................................................................................................12FOLLOW-UPCARE.............................................................................................................................................................................................13KEEPYOURPATIENTIMPLANTCARDHANDY.............................................................................................................................................13MRIINFORMATION..........................................................................................................................................................................................13

FREQUENTLYASKEDQUESTIONS.......................................................................................................................................14GLOSSARY...................................................................................................................................................................................15



PATIENTINFORMATIONGUIDEYouhaverecentlyhadaTRYTONSideBranchstentimplantedinthecoronaryarteriesofyourheart,oryouhavecoronaryarterydiseasethatmaybetreatedwithaTRYTONSideBranchStent.Thefollowinginformationisimportantforyoutoknow,includingthepossiblerisksassociatedwithhavingastentimplantalongwithmedicationrecommendationsandquestionsyoumayhaveaboutyourstent.IfyouhaveanyquestionsabouttheTRYTONSideBranchStentorthestentingprocedureafteryoureadthisbooklet,besuretoaskyourphysician.



CORONARYARTERYDISEASE(CAD) WhatisCAD?CADisthemostcommonformofheartdisease.Itisaconditionthatoccurswhenthearteriesthatsupplyoxygen-richbloodandnutrientstotheheartmusclebecomenarrowedorblockedbyagradualbuild-upofplaque.Plaqueismadeupoffattydeposits(cholesterol),whitebloodcells,calcium,andothersubstancesthatcollectovertimeinthewallofacoronaryartery.Thisprocessiscalledatherosclerosis.Astheplaquenarrowstheopening(lumen)ofacoronaryartery,itcanlimitbloodflowtotheheartmuscle.

Source:

https://commons.wikimedia.org/wiki/File:Blausen_0257_CoronaryArtery_Plaque.pngWhataretheSymptomsofCAD?TwocommonsymptomsofCADarechestpain(alsoknownasangina)andshortnessofbreath,whicharecausedbythereductionofbloodflowtotheheartmuscle.Ifplaquebuild-updoesnotreducebloodflowexcessively,theremaybenosymptomsatrest,butsymptomssuchaschestheavinessorpressuremayoccurwithexerciseorstress.Aheartattack(myocardialinfarction)canoccurifthearterysuddenlybecomescompletelyblocked,usuallybyabloodclotthatformsoverruptured(broken)plaque.Heartattackscausepermanentdamagetotheheartmuscleandcanalsoleadtosuddendeath.



CADsymptomsthatpatientsmayexperienceare:• Paininthejaworneck• Painradiatingtothearmsorback• Heartburn• Nausea• Vomiting• Heavysweating

Whenbloodflowissignificantlyreduced,andtheheartmuscledoesnotreceiveenoughbloodtomeetitsneeds,severesymptomssuchaschestpain(angina),heartattack(myocardialinfarction),orheartrhythmdisturbances(arrhythmias)mayoccur.TherearesomepatientswhoreportnosymptomsofCAD.Itispossibletohaveaheartattackwithoutexperiencinganysymptoms.RecentresearchhasshownthatsomewomenexperiencedifferentCADsymptomsfrommenandarelesslikelythanmentoreportchestpain,heavinessinthechest,orchestdiscomfortduringaheartattack.Womenmaynoticeotherearlysymptoms,suchasunusualtirednessorsleepdisturbancesuptoonemonthpriortoaheartattack.Thesedifferencesinsymptomsmaycausesomewomentodelayseekingtreatment.TreatmentofCADCADcanbemanagedbyacombinationofchangesinlifestyle(eatingahealthydietthatislowinsaturatedfat,regularexercise,andquittingsmoking)andmedicaltreatment.Yourtreatmentmayincludemedicationstorelieveyourchestpainand/ortoexpandthecoronaryarteries,increasingbloodflowtoyourheart.However,becausemedicinealonemaynotadequatelyrelieveyoursymptoms,youmayneedfurthertreatments,whichmayincludebypasssurgery,balloonangioplasty,andstenting.Yourphysicianhasdeterminedthatuseofacoronarystentisthebesttreatmentforyou.Inabout15%ofpatients,theblockageinamajorheartarteryalsoinvolvesablockagewithinasidebranchthatcomeoffofthatmajorheartartery.Thisisreferredtoasabifurcationlesion.Bifurcationlesionsaremorecomplexthannon-bifurcationlesions,andtheirtreatmentwithangioplastyandstentsisassociatedwithhigherrisksofheartattackandtheneedforarepeatproceduretotreatare-narrowedheartvessel.



CoronaryArteryStentsCoronaryarterystentsaredevices(smallmetallicmeshtubes)thatareplacedoveraballooncatheteranddeliveredtothenarrowedportionofacoronaryartery.Theballoonisusedtoexpandthestent.Thestentpressesagainstthenarrowedvesselwall,holdingthevesselopen.Thismakesawiderchanneltoimprovebloodflowtotheheartmuscle.Thismaybefollowedbyrepeatballooninflationswithinthestenttoachievetheresultdesiredbyyourdoctor.Oncetheballoonhasbeendeflatedandwithdrawn,thestentstaysinplacepermanently,holdingthecoronaryarteryopen.Theinnerliningofthearterygrowsoverthesurfaceofthestent,makingthestentapermanentpartofyourartery.Coronaryarterystentsarelessinvasivethanbypasssurgery.Stentinginvolvesashorterhospitalstay–usuallyonetothreedays–andfasterrecoverythansurgery.However,thecoronaryarterymayre-narrow(calledrestenosis)insomepatientswhoreceivestents(in-stentrestenosis),duetothebuild-upofscartissuewithinthestentleadingtonarrowingofthestentlumen.Thismayrequirefurthertreatments,suchasrepeatangioplastyand/orbypasssurgery,toreopenthearteryandincreasebloodflowtotheheart. TRYTONSIDEBRANCHSTENTTheTRYTONSideBranchStentisastentmadefromcobaltchromiumalloy.Cobaltchromiumisabiocompatiblemetalspecificallydevelopedforcoronarystents.Thestentisflexibleandwasspeciallydesignedtoallowittofittheshapeofablockedmajorheartarterythatalsohasablockageinasidebranch(bifurcationlesion).TheTRYTONSideBranchStentisdeliveredtothearteryonaballoondeliverycatheterandwillbeusedwithanothercompany’sdrug-elutingstent(DES)thatyourdoctorwillimplantinoneofyourmainheartarteries.



DiagramoftheTRYTONSideBranchStentmountedonDeliveryBalloon

Mid Markers

Proximal Marker Distal Marker

WHENTHETRYTONSTENTSHOULDNOTBEUSED(CONTRAINDICATIONS)

• Ifyourarteryiscompletelyblocked• Ifyourphysicianseesmoderatetoseverecalciumdepositsintheartery• Ifyourarteryisseverelycurvedmakingitdifficulttogettotheblockage• Ifyourphysicianseesbloodclots/thrombusblockingtheartery• Ifyourphysicianfeelshe/shecannotcompletelyinflatetheangioplastyballoon• Failuretoperforminflationoftheangioplastyballooninthemainbranchandthe

sidebranchpriortoTRYTONstentplacement(pre-dilatation)• PlacementofTRYTONstentalone,withoutamainbranchstent• PoorflowbeyondthestentimplantationsiteduetosevereCAD• Anuntreatedsignificant(>50%)blockagebeforeorafterthemainbranchorside

branchtargetlesion• Ifyourheart’spumpingstrengthisverypoor• Ifyouhaveimpairedkidneyfunction• Ifyouhaveabnormalbloodtestsindicatingbleedingdisorders,increasedriskof

infections,orknownorsuspectedliverdisease• Ifyouarearecipientofhearttransplant• Ifyouhaveanallergyorhypersensitivitytocobalt-chromiumorstructurally-

relatedcompounds,cobalt,chromium,nickel,ortungsten• Ifyourphysicianplanstoperformrotationalatherectomy(useofadevicetobreak

upplaqueinsidetheartery)• Ifyourphysiciandecidesyoushouldnotreceiveadrug-elutingstentbecauseyou

cannottaketherecommendeddualanti-platelet(aspirinandanapprovedP2Y12inhibitor)medicationsand/oranticoagulationtherapy



POTENTIALADVERSEEVENTSASSOCIATEDWITHTHETRYTONSIDEBRANCHSTENTTherisksofusingtheTRYTONSideBranchStentaresimilartothosethatareassociatedwithotherstandardheartstentprocedures.Astentthatbecomesblockedbyabloodclotmayleadtoaheartattack,theneedforurgentbypasssurgery,deathortheneedforanotherangioplastyprocedure.Evenwithsuccessfulstentimplants,thereisachanceofre-narrowing(restenosis)ofyourcoronaryartery.Thismayrequirefurthertreatments,suchasrepeatangioplastyand/orbypasssurgery,toincreasebloodflowtotheheart.Therisksfromusingballooncatheterstoimplantstentsmaybeseriousenoughtorequiresurgeryorcausedeath.Otherrisksassociatedwithballoonangioplastyandheartstentimplantationproceduresinclude,butarenotlimitedto:

• Abruptvesselclosure(suddenclosureofthevessel)• Acutemyocardialinfarction(heartattack)• Aneurysm(weakeningofaportionofthewallofthebloodvessel)• Arrhythmia,includingventricularfibrillation(irregularheartbeat)• Arteriovenousfistulas(abnormalconnectionbetweentwovesselsthat

normallydonotconnect• Coronaryarteryspasm• Coronaryvesseldissection(tearwithinthebloodvesselwall),perforation,or

injury• Death• Drugreactionsorallergicreactionstocontrastmedium• Emboli(air,piecesofdevices,fragmentsofclot,orfragmentsofplaquethat

canblockbloodvesselscausingtissueinjury)• EmergencyCABG(emergencybypasssurgery)• Fever• Hematoma(tissueswellingcausedbyabloodclot)orhemorrhage(bleeding)• HypotensionorHypertension(decreasedorincreasedbloodpressure)• Hypersensitivity(allergic)reactions• Infection• Myocardialischemia/Angina,(chestpainduetodecreasedoxygensupplyto

theheart)• Non-heart-relatedchestpain• Pseudoaneurysm(enlargementofabloodvesselduetoaninjurytotheblood

vesselwall)• Restenosisofthetreatedvessel(re-blockageofthebloodvesselfollowingthe

procedure)



• Stentmisplacementormigration(movementofthestentfromwhereitwasplaced)

• Stroke• Thrombosis(bloodclotwithinabloodvessel)• Occlusion(blockage)ofacoronaryarteryorheartbypassgraft• Anginapectoris(chestpaincausedbyinadequatebloodflowtotheheart)

THETRYTONCLINICALTRIALSThesafetyandeffectivenessoftheTRYTONSideBranchStentwasestablishedintworesearchstudies:theTRYTONPivotalRandomizedClinicalTrial(RCT)andtheExtendedAccess(EA)ConfirmatoryStudy.IntheTRYTONPivotalRCTStudy,704patientswithCADinvolvingbifurcationlesionswererandomlydividedintotwogroupsfortreatment.Onegroupof355patientswasassignedtoreceivetheTRYTONStenttotreattheblockedsidebranch,andtheothergroupof349patientswastobetreatedwithballoonangioplastyoftheblockedsidebranch.Bothpatientgroupsalsoreceivedanapproveddrug-elutingstenttotreattheblockageinthemajorvessel.At9monthsaftertheprocedure,patientsintheTRYTONgrouphadahigherrateofheart-relatedcomplications(16.7%)comparedtothe balloonangioplastygroup(12.6%),butmostofthedifferenceinthecomplicationratebetweenthetwogroupswasduetoverysmallheartattacksoccurringatthetimeoftheprocedure.Importantly,whendoctorsusedtheTRYTONstentinsidebranchheartvesselsthatweresuitedtothesizerequirementsoftheTRYTONStent,therateofheart-relatedcomplicationsat9monthswaslowerintheTRYTONgroup(10.5%)versustheballoonangioplastygroup(14.8%).Overall,implantationoftheTRYTONStentappearstobecomparabletoangioplastywithregardtoheart-relatedcomplications.ImplantationoftheTRYTONStentwasalsoassociatedwithareductionintheseverityofsidebranchblockageat9monthscomparedtoballoonangioplasty.TheTRYTONExtendedAccess(EA)ConfirmatoryStudyincluded133patientswithheartvesselbifurcationlesionsimplantedwiththeTRYTONSideBranchStenttotreattheblockedsidebranchalongwithimplantationofanapproveddrug-elutingstenttotreattheblockageinthemajorvessel.ThefocusoftheEAStudywasontherateofheartattacksassociatedwithimplantationoftheTRYTONStentinpatientswithheartvesselsidebranchesthatwereoftheappropriatesizefortreatmentwiththeTRYTONStent.TheEAstudyshowedthatdoctorscouldidentifysidebranchheartvesselsthatweresuitedtothesizerequirementsoftheTRYTONStent inover99%oftheenrolledpatients.Therateofheartattacks(mostofwhichwereverysmall)associatedwithimplantationoftheTRYTONStentmetthegoalestablishedfortheEAstudy.



YOURCORONARYSTENTPROCEDUREHowDoIPrepareforMyProcedure?Inthedayspriortoyourtreatment,makesureyou:• Tellyourdoctoraboutallofyourmedications• Takeallofyourprescribedmedicines• Tellyourdoctorif,foranyreason,youcannottakeaspirinorotherbloodthinning

drugssuchasPlavix,Effient,orBrilinta• Makesureyourdoctorknowsaboutanyallergiesyoumayhave• Refrainfromeatinganddrinkingaftermidnightonthenightbeforeyourprocedure• Followallinstructionsgiventoyoubyyourdoctorornurse

YOURTRYTONSIDEBRANCHSTENTPLACEMENTPROCEDURE Youmaybegivenamildsedativetohelpyourelax,butyouwillnotbeputtosleep.Therearetworeasonsforthis.Firstly,mostpeoplefindtheyexperiencelittletonodiscomfortfromtheprocedure.Secondly,yourdoctormayneedtoaskyoutotakeadeepbreathwhileX-raysarebeingtaken,toimprovethequalityofthepictures.Yourprocedurewillbeperformedinacardiaccatheterizationlaboratory(cathlab).YouwilllieonanX-raytable,andanX-raycamerawillmoveoveryourchestduringtheprocedure.Thestaffwillmonitoryourheartbyattachingseveralsmallpatchestoyourchestandusingaspecializedmonitor.Thebloodvesselatthetopofyourthighisthemostcommonsiteforcatheterinsertionandrequiresaverysmallskinincision.Theareawillbeshavedandcleanedwithanantiseptic,andyouwillbegivenalocalanesthetictonumbthearea.Thisincisionwillallowanintroducersheath(shorttube)tobeinsertedintoyourfemoralartery(themainarteryofthethigh,supplyingbloodtotheleg).Yourdoctorwilltheninsertaguidingcatheter(alongflexibletube)intotheintroducersheathandadvanceittowherethecoronaryarteriesbranchofftotheheart.Aflexibleguidewireisthenadvancedthroughtheguidingcathetertothenarrowinginthecoronaryartery.Thishelpscarryallthenecessarydevicesrequiredduringthestentingprocedure.Additionaloptionsforcatheterinsertionincludeanarmartery(brachialartery)ontheinsideofyourelbowandthewrist(radialartery).Afterthecathetersareadvancedtoyourheart,yourdoctorwillinjectfluid(contrastdye)throughtheguidingcatheterintoyourarterytoviewthenarrowing.YourdoctorwillwatchtheinjectiononanX-raymonitor,muchlikeaTVscreen.WhiletheseX-raysarebeingtaken,yourdoctormayaskyoutotakeadeepbreathandholditforafewseconds.Youmay



alsobeaskedtocoughaftertheX-raypictureiscompleted,tohelpspeedtheremovalofthecontrastdyefromthearteries.Usingtheguidingcatheter,aballooncatheterwillbepositionedinthenarrowinginthecoronaryarteryandtheballoonistheninflated.Thiscompressestheplaqueandwidensthecoronaryarteryopening.Thisprocedureiscalledpre-dilatation.TheplacementoftheTRYTONstentisdescribedinthefollowingsteps:Step1:ThestentmountedonaballooncatheterisdeliveredtothenarrowingintheSideBranchofthecoronaryarterybyadeliverycatheter.Theballoonistheninflatedandthisexpandsthestent,pressingitagainstthecoronaryarterywall.Yourdoctormaychoosetoexpandthestentfurther,byusinganotherballoonsothatthestentcanmakebettercontactwiththearterywall.Thisisknownaspost-dilatation.Step2:OncetheTRYTONSideBranchStentisinplace,adrug-elutingstentwillbeplacedintotheMainBranchofthearteryfollowingthesameprocedure.Step3:WhenbothstentsareintheirpositionsyourphysicianwillexpandbothstentsfurtherbyusingaballoonintheSidebranchandanotherballoonintheMainbranch.Bothstentsremainasapermanentimplantinyourcoronaryartery.SelectingthesizeoftheTRYTONSideBranchStentthatcorrectlymatchesthearterysizeisveryimportanttoobtainthebestresultsfromthestentingprocedure.Yourdoctormaychoosetoperformadditionalmeasurementsofthearterysizeusinganultrasoundcatheterbeforeorafterplacingthestents.Theimplantationprocedureofthestentsusuallylastsabout90minutes,duringwhichtimeyourdoctorwillaskyoutoremainverystill.Forthemostpart,youwillbecomfortable,butyoumayfeelsomepressureorchestpainwheneveraballoonisinflated.Thisisnormalandwillquicklyfadewhentheballoonisdeflated.



ImmediatelyafterProcedureYouwillbeaskedtolieflatforfourtosixhoursfollowingtheprocedureandtonotbendyourlegorarm,dependingonwhichareayourdoctorusedtoinsertthecatheters.Pressurewillalsobeplacedonthearea.Avascularclosuredevicemaybeusedtosealtheincisionsiteinyourgroinorarm.Youwillbeallowedtogetupandwalkaroundsoonerifthistypeofdeviceisused.TakeAllMedicationsasInstructedAfteryouleavethehospital,yourcardiologistwillinstructyoutotakeadailydoseofaspirinandanotherbloodthinningantiplateletdrugsuchasPlavix,Effient,orBrilinta.Yourdoctorwilltellyouhowlongyoushouldcontinuetakingtheantiplateletdrugs.Itisveryimportantthatyoutakethesemedicationsexactlyasyourdoctorinstructsyou:

• Follow yourmedication schedule exactly to avoid possible complications afteryoureceiveyourstent.Donotmissanydoses.

Callyourdoctorifyoucannotkeeptakingyourmedicationsbecauseofsideeffectssuchasrash,bleeding,orupsetstomach.

Ifsurgeryordentalworkthatwouldrequireyoutostoptakingantiplateletmedicationsisrecommendedafteryouhavereceivedthestent,youandyourdoctorsshouldcarefullyconsidertherisksandbenefitsofthissurgeryordentalworkversusthepossiblerisksfromearlydiscontinuationofthesemedications.

CAUTION:Donotstoptakingyourprescribedmedicationsunlessyouareinstructedtodosobythedoctorwhoperformedyourstentprocedure.

CAUTION:Notifyyourdoctorifyouarescheduledtoseethedentistwhileonantiplateletmedication.Yourdoctormayprescribeantibioticstoavoidthepotentialofaninfection.Youshouldreviewwithyourdoctoranyrecommendationsfromyourdentistoranyother

healthcareprovidertostopyourprescribedmedications.



CAUTION:Notifyyourdoctorimmediatelyifyouexperiencechestpain(angina),ornoticeanychangessuchasmoresevereorfrequentchestdiscomfort,especiallyinthefirstmonthafteraprocedure.Thesesymptomsmayindicateare-narrowinginyour

coronaryarteries.

CAUTION:ShowyourPatientImplantCardifyoureporttoanemergencyroom.Thiscardidentifiesyouasapatientwhohashadastentimplanted.

Ifyoudorequirediscontinuationofantiplateletmedicationsbecauseofsignificantbleeding,yourcardiologistwillcarefullymonitoryouforpossiblecomplications.Onceyourconditionhasstabilized,yourcardiologistmayrestartthesemedications.Follow-upCareYouwillbedischargedtothecareofyourcardiologistorfamilydoctor.Youshouldbeabletoreturntoyournormalactivitiessoon.Yourdoctorwillaskyoutoreturnforfollow-upvisits.Thefirstvisitisusuallytwotofourweeksafteryourstentsareimplanted,withfollow-upvisitseverysixmonthsforthefirstyear.Besuretokeepallappointmentsforfollow-upcare,includingbloodtests.

KeepYourPatientImplantCardHandy MRIInformationIfyourequireamagneticresonanceimaging(MRI)scan,tellyourdoctororMRItechnicianthatyouhaveastentimplant.MRImaybeperformedimmediatelyfollowingtheimplantationoftheTRYTONstent(s).YourPatientImplantCardhasdetailedinformationregardingthesafestMRIconditionstobeusedafterimplantationoftheTRYTONSideBranchStent.

CAUTION:Beforeundergoingimplantationofadrug-elutingstent,speakwithyourdoctorifyouplantohaveanytypeofsurgerythatmayrequireyoutostoptakingantiplatelet

medications.



FREQUENTLYASKEDQUESTIONS Howlongwillthestentstayinmybody?Stentsaredesignedtostayinyourbodypermanently.WillIbeabletofeelthestentinsideme?No,youwillnotbeabletofeelthestentonceithasbeenimplantedinyourartery.Canthestentmoveorrust?Oncethestentispressedagainsttheinsidewallofyourcoronaryartery,itwillremaininplacepermanentlyandwillnotmoveonitsown.Tissuewillgrowaroundthestentandholditinplace.Itwillnotrustbecauseitismadeofnon-corrodingmetal.Willmystentsetoffthemetaldetectoratairportsecuritycheckpoints?No,yourstentimplantwillnottriggeralarmsatsecuritycheckpoints.HowlongshouldItakemymedications?Themostimportantthingthatyoucandotominimizetheriskofbloodclotswithinstents(stentthrombosis)istotakethebloodthinningantiplateletmedicationsyourdoctorprescribes.Donotstoptakingthesemedicinesuntilyourcardiologisttellsyouto,evenifyouarefeelingbetter.WhatifIstillgetpains?Ifyouexperiencepain,informyourcardiologistorthecenterwheretheprocedurewasperformedimmediately.WhataretherestrictionsorcautionsafterI’vereceivedastent?Ifyourequiremagneticresonanceimaging(MRI),tellyourdoctororMRItechnicianthatyouhaveanimplantedstent.WhencanIresumemyregularactivities?Yourdoctorwilladviseyou.Manypatientscanreturntoworkandfollowtheirnormalroutineaboutaweekaftertheirstentprocedure.WhatshouldIchangeinmydiet?Yourdoctormayprescribeacardiacdiettohelpreducethelevelsoffatinyourbloodandreduceyourrisk.CouldIhaverecurringsymptoms?Yes,itispossiblethatyouwillexperiencesymptomsagain,eitherduetoanewblockageintheregiontreatedwiththestentorduetoablockageatanotherplaceinyourcoronaryarteries.Yourdoctorwillmonitoryourprogress.HowcanIhelppreventarecurrenceofsymptoms?Whilethereisnosurewaytopreventarecurrenceofsymptoms,youcanreducetheriskthroughexercise,notsmoking,eatingahealthydiet,andtakingrecommendedheartmedications.Yourdoctorcanadviseyouaboutlifestylechanges.



GLOSSARY

Angina:Chestpaincausedbyaninadequatesupplyofbloodtotheheart.

Angioplasty(alsoreferredtoasPTCA):Aminimallyinvasiveprocedureinwhichaballooncatheterispassedthroughtotheblockedareaofanartery.Onceinflated,theballooncompressestheplaqueagainstthebloodvesselwallandenlargesthevesselopening.Anangioplastycanalsobeperformedwithplacementofastent.

Anticoagulant:Amedicationtopreventorslowtheclottingofblood.

Antiplatelet:Asubstancetoreduceclumpingofplateletsintheblood.Anantiplateletmedicinehelpsthinthebloodtopreventclotformation.

Atherosclerosis:Adiseasethatcausesnarrowingorblockageofarteriescausedbyabuild-upoffat(cholesterol)withinthearterywall.Thebuild-upisreferredtoasplaque.

Bifurcationlesion:Amajorcoronaryarterywithblockagethatalsohasablockageinasidebranch.

CardiacCatheterizationLaboratory(CathLab):AsterileX-raytheaterinwhichheartcatheterizationisperformed.

Catheter:Athin,hollow,flexibletubeusedtoaccessthecoronaryarteriesduringanangiogramorduringanangioplastyprocedure.Thiscathetercanbeusedtoinjectmedication,fluids,orcontrastdyeduringtheprocedure.Acathetercanalsorefertothedeviceusedtodelivertheballoonorstentduringanangioplastyprocedure.CoronaryAngiography(orHeartCatheterizationorCardiacCath):Atestinwhichcontrastdyeisinjectedtocreateimagesofthecoronaryarteries.Thisallowsthedoctortoseetheextentofthediseaseinthecoronaryarteriesandmakeadecisiononhowtobesttreattheblockages.

CoronaryArteries:Thebloodvesselsthatcarrybloodcontainingoxygentotheheartmuscle.Therearefourmajorcoronaryarteries:theleftmain,therightcoronaryartery,theleftanteriordescending,andtheleftcircumflex.



CoronaryArteryBypassGraftSurgery(CABG):Open-heartsurgerytotreatCAD.

CoronaryArteryDisease(CAD):Theformationofblockagesoratheroscleroticplaqueswithincoronaryarteriesthatresultinrestrictedbloodflowtotheheartmuscle.

EmboliorEmbolism:Air,piecesofdevices,orfragmentsofbloodclotsthattravelinthebloodstreamandblockthebloodvessel

Electrocardiogram(ECG/EKG):Atestthatrecordstheelectricalactivityoftheheart.AnECG/EKGmayindicatethatpartsoftheheartmusclearedamagedduetodecreasedbloodflow.

FemoralArtery:Themainarteryofthethighthatsuppliesbloodtothelegandisoftenusedtoinsertcatheterstoperformcoronaryangiographyprocedures.

In-stentRestenosis:Recurrentblockageornarrowingofapreviouslystentedvessel.

LocalAnesthetic:Asubstanceusedtonumbtheareatowhichitisapplied.

Lumen:Theinnerchannelorcavityofavesselortube.Inabloodvessel,itistheopeningthroughwhichbloodflows.

MyocardialInfarction(MI):Aheartattack,whichisduetointerruptioninthebloodflowtotheheartmuscleandresultsindamageofanareaofhearttissue.

MagneticResonanceImaging(MRI):Anon-invasiveprocedureusedtoobtainimagesofinternalbodystructuresthroughtheuseofmagnetsandradiowaves.

Percutaneous:Performedthroughtheskin.Plaque:Anaccumulationorbuild-upoffattydeposits,calcium,whitebloodcells,andscartissueinthewallofanarterythatresultsinnarrowingofthevessellumen.

Restenosis:Arecurringblockagecausedbytheexcessivegrowthofscartissueinsidethearteryorstentthatmayoccurfollowinganangioplastyprocedure.



Stent:Ametallicmeshtubethatisimplantedintoanarteryduringanangioplasty,providingascaffoldtohelpholdthearteryopenandincreasingbloodflowtotheheartmuscle.

PlavixisaregisteredtrademarkofSanofi-AventisCorporation.EffientisaregisteredtrademarkofEliLillyandCompany.BrilintaisaregisteredtrademarkoftheAstraZenecagroupofcompanies.Formoreinformation,visitourwebsiteatwww.trytonmedical.com©2017TRYTONMedical,Inc.Allrightsreserved.Note:Third-partytrademarksareregisteredtrademarksoftheirrespectiveowners.Thisproductisintendedforusebyorunderthedirectionofaphysician.Itisimportanttoreadthoroughlytheinstructionsforuse,warnings,andpotentialcomplicationsassociatedwiththeuseofthisdevice.Manufacturedfor:

1000 Park 40 Plaza Suite 325 Durham, NC 27713, USA Phone: +1.919.226.1490 Fax: +1.919.226.1497 www.trytonmedical.com

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PATIENT GUIDE FOR TRYTON SIDE BRANCH STENT GUIDE FOR TRYTON SIDE BRANCH STENT ... , due to the...

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