Update : November 14, 2008    
Left main coronary
disease
Ostial disease
Bifurcation
Graft vessel disease
Diffuse coronary
disease
Chronic total
occlusion (CTO)
Restenosis
Multivessel disease
Drug eluting stent
Vulnerable plaque
AQUA T3 Case Presentation : European Experience

Device Information
General Introduction
Slide for Features & Benefits
User¡¯s Comment
Case Presentation
AMC Experience
European Experience
Japanese Experience
Case 1: Mercogliano, Naples
Operating Physician: Dr Jean Fajadet Background:
• Tortuous and Calcific Lesion
- A Guidant Crosssail balloon 2.0 x 20mm was used without success on the first attempt
- An Aqua T3 was used with success
- With this success using Aqua T3, when Crosssail failed. Aqua T3 was being used on subsequent cases for the rest of the day
¡°Aqua T3 is an excellent balloon¡± - Dr Jean Fajadet
 
Case 2 : JIM Meeting, Rome
Operating Physician: Dr A. Colombo Background:
• Aqua T3 were used on several live cases to predilate tortuous vessels
¡°Outstanding balloon¡± - Dr A. Colombo
* Remarks : Dr A. Colombo nicknamed Aqua T3 ¡°AQUA Fresh¡±, which means new and nice sounding. Dr A. Colombo was involved in the Aqua T3 market preference test in Europe.
 
Case 3: London Chest Hospital, UK
Operating Physician: Dr Charles Knight Background:
• 55-year-old diabetic Asian male
• Lesion 1 : Short diseased segment at the ostium of LAD
- This lesion was treated with direct stenting using BX Sonic with good result
• Lesion 2 : Circumflex lesion with 95% ostial stenosis (culprit lesion)
- This lesion was first predilated using Aqua T3 2.5 x 20 mm without success
- Dr Knight then used maverick 2.5 x 20 mm (his usual balloon of choice), but failed. Patient started having pronounce ST segment changes Dr Knight then pulled a 1.5 x 20mm Maverick, but Maverick again failed to cross
- Finally, Dr Knight attempted to cross the 95% ostial lesion using Aqua T3 2.0 x 20mm. To his astonishment, 2.0 x 20mm Aqua T3 crossed the lesion!
¡°...that is really very impressive...¡±- Dr Charles Knight
 
Case 4: Papworth, UK
Operating Physician: Dr Schofield Background:
• Tight right Calcified lesion
- A Crosssail was used but could not cross
- Aqua T3 was then used and passed through effortlessly
* Remarks : Words got around in the department that Aqua T3 has a good profile, as another doctor in the department has also used Aqua T3 in a challenging situation with success.
 
Case 5: Valmont (South France)
Background:
• Bifurcation lesion of 90% stenosis at LAD and Diagonal 2
- Bifurcation lesion of 90% stenosis at LAD and Diagonal 2
- Pre-dilate the Aqua T3 1.5 x 15mm to create a channel
- Aqua T3 3.0 x 15mm was used to dilate the lesions at LAD and Diagonal 2
- Followed by deploying 2 BX Sonic stents
¡°Constant push transmission from the proximal part to the distal part, good deflation time and secondary profile ? which was important in this case with several inflations at different sites.¡±
 
Case 6: Valmont (South France)
Background:
• 2 tight 95% stenosis in RCA
- First attempt to cross the 95% lesion with Galeo (Biotronik balloon) was unsuccessful
- Aqua T3 was then used and crossed the lesions easily to predilate for BX Sonic deployment
¡°Excellent trackability, even on very tight stenosis. Distal shaft is very soft and conforming.¡±
 
Case 7: PCE Symposium, Sweden
PCI Symposium on January 19-21 in Sweden.
4 live cases were transmitted from a hospital in Stockholm and Aqua T3 2.5 X 10mm balloons were used with great success in all cases. The audiences were surprised and asking ¡°What is that good balloon?¡±
 
Case 8: Sint Antonio¡¯s Hospital, Nieuwegein
Background:
Aqua T3 was used to cross multiple bends of more than 90 degree during one of the procedures
In crossing these bends, the balloon performed excellently and was inflated very distal lesion in CX
¡°You have something very good here.¡±
 
Aqua T3, Europe Market Preference Tests
Conclusion:
Aqua T3 is rated as a top quality balloon by all users (40% Excellent, 56 % Good)
The Aqua T3 is considered to be equivalent or better than the Maverick by 93% of the Boston Scientific Users
The Key strengths of the Aqua T3: Pushability, Trackability and Crossability
Customers were impressed by the excellent deflation time and secondary profile
The low compliance of the Aqua T3 has received good remarks by many physicians and is the unique safety feature of Aqua T3
 
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