1. An Unusual Complication After Bioresorbable Scaffold Implantation Visualization of Intramural Hematoma by Optical Coherence Tomography

    An Unusual Complication After Bioresorbable Scaffold Implantation Visualization of Intramural Hematoma by Optical Coherence Tomography

    A 68-year-old man was treated in our catheterization laboratory for ST-segment elevation myocardial infarction. He had undergone 3.5 × 18-mm bioresorbable vascular scaffold (BVS) implantation in the proximal left anterior descending coronary artery for stable angina in another institution 2 days before. At presentation, angiography showed a filling defect located >5 mm distally to the scaffolded segment ( Figure 1A ). An attempt at thrombus aspiration was performed, without retrieving any aspiration material, and the angiographic image remained unchanged ( Figure 1B ). Optical coherence tomography (OCT) was performed and revealed the absence of intraluminal thrombus, but the presence of an occlusive intramural hematoma ...

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