NEW INDICATOR FOR STENT COVERING AREA

A small gap between stent struts is essential to support the vessel wa ll, prevent elastic recoil, and prevent intimal flaps from prolpasing into the lumen, We defined Gap Index as the ratio of strut width divid ed by the percent of the vessel wall area covered by the stent metal, and proved mathematically that this index relates inversely to the tot al length of stent struts (or coil), and directly related to stent cel l size. Twenty-four (12 tubular and 12 coil) stents from 17 manufactur ers were analyzed. Strut width in the tubular and coil groups was 354. 1 +/- 276.0 and 955.9 +/- 553.9 mu m, respectively (P < 0.001). The re lative metallic surface area (RMS) in the tubular and coil groups for 3 mm stent diameter was 16.0 +/- 4.6 and 10.6 +/- 3.7%, respectively ( P < 0.005), Great variations in Gap Index were found amongst different stents, with up to 100-fold. Gap Index in the tubular and coil groups for 3 mm stent diameter was 24.4 +/- 21.7 and 105.8 +/- 97.5 units, r espectively (P = 0.001), Thus, coil stents have a smaller relative met allic surface area despite increased strut width, This is the result o f reduced total strut length and fewer and larger cells, as represente d by a higher Gap Index. This information may be useful for new stents designs. (C) 1998 Wiley-Liss, Inc.