Glossary of Terms

Below is a glossary of frequently used terms that relate to Boston Scientific's products and related procedures.

Binary Restenosis

50 percent or greater vessel re-occlusion.

Brachytherapy

Radiation treatment given by placing radioactive material directly in or near the target, which is often a tumor.

Cardiac Catheterization

Procedures used to study the various functions of the heart. Using different techniques, the coronary arteries can be viewed by injecting dye or opened using balloon angioplasty.

Cardiovascular Disease

Disease affecting the heart or blood vessels. Cardiovascular diseases include arteriosclerosis, coronary artery disease, heart valve disease, arrhythmia, heart failure, hypertension, orthostatic hypotension, endocarditis, diseases of the aorta and its branches, disorders of the peripheral vascular system, and congenital heart disease.

Catheter

A thin plastic tube used to access various parts of the body, such as the coronary arteries. A treatment device – such as a stent – is often attached to the catheter.

Coronary

Related to arteries that supply blood and nutrients to the heart.

Coronary Angiogram

A test to determine if coronary artery disease is present. Contrast dye is injected into the coronary arteries and a fluoroscope allows clinicians to see the vessels on an X-ray screen.

Coronary Arteries

The arteries that surround the heart and supply blood containing oxygen and nutrients to the heart muscle.

Coronary Artery Bypass Graft Surgery (CABG)

The medical term for open heart or bypass surgery. This surgery is carried out to relieve angina (chest pain or discomfort caused by reduced blood supply to the heart) by creating a bypass around blocked or narrowed coronary arteries. The bypass itself is a short length of artery or vein taken from the leg or chest and grafted onto the heart above and below the blocked artery.

Coronary Artery Disease

Disease affecting the coronary arteries that surround the heart and supply blood to the heart muscle. It occurs when the lumen of the coronary arteries becomes narrowed with plaque deposits (a build-up of cholesterol and other fats, calcium and other elements carried in the blood).

Drug-Eluting Stent

Drug-eluting stent refers to a stent with an active drug that is intended to produce a therapeutic effect (e.g., reduction of restenosis).

Guide Wire

A thin, flexible wire that can be inserted into a confined space to act as a guide to facilitate passage of a device, such as a catheter.

In Stent

Area within the boundaries of the stent.

IVUS (Intravascular Ultrasound)

A tiny ultrasound "camera" that is threaded into the arteries to give physicians a cross-sectional view, showing where the normal artery wall ends and the plaque begins. Used in conjunction with angiography, the catheter-based IVUS technology gives physicians a more detailed understanding of the plaque in patients’ arteries. In certain situations, IVUS can aid in the selection and sizing of stents and balloons and can offer assurance that a stent has been properly deployed.

Late Loss

Neointimal formation post procedure.

Lesion Length

Length of the lesion, as measured from end-to-end by a core laboratory.

Lumen

The hollow space inside a blood vessel through which the blood flows.

Major Adverse Cardiac Events (MACE)

Cardiac death, myocardial infarction (MI) including Q- and non Q-wave MI, and target vessel revascularization (TVR).

Myocardial Infarction (MI)

Permanent damage to the heart tissue and muscle due to the interruption of the blood supply to the area. Commonly referred to as a heart attack.

Occlusion

The act of closing or the state of being closed.

Polymer

A carrier that provides uniform drug coverage along the stent, enables time-released dosing and is vascular compatible.

Post-Dilatation

After a stent has been expanded, another balloon catheter may be inserted inside the stent and inflated to size the stent more precisely to the vessel wall.

Pre-Dilatation

The use of a balloon catheter to dilate a coronary lesion prior to placement of the coronary stent. This procedure provides the physician access for the stent delivery system as well as aiding in selection of stent size.

Restenosis

The growth of neointimal tissue within an artery after angioplasty and stenting.

Stent

An expandable metal tube that supports the vessel wall and maintains blood flow through the opened vessel.

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