Tips and Tricks
The successful deployment of an AXXESS device is achievable by the majority of PCI operators; however, the simple steps outlined above should be followed to minimise this risk of complications. It is advisable to undergo a short period of proctoring before attempting implantation solo as the delivery of the device differs from a conventional balloon expandable stent, as is detailed above. Adjunctive use of intracoronary imaging permits clear definition of the bifurcation anatomy and suitability for a dedicated device, and also facilitates appropriate lesion preparation that permits optimisation of the final stent result. It is recommended in the early learning curve of a new operator that such imaging is performed. While AXXESS can be used safely in the left main stem, it is not advisable for AXXESS implantation to be attempted in this circumstance until a number of successful AXXESS deployments have been undertaken in non-left main bifurcation lesions.
There are a small number of potential problems that maybe encountered during implant that can be mitigated by careful technique. These are outlined below, along with simple solutions that are effective in the majority of cases.