1-Year Follow-Up Optical Frequency Domain Imaging of Multiple Bioresorbable Vascular Scaffolds for the Treatment of Spontaneous Coronary Artery Dissection

A 32-year-old woman with chest pain and anterior ST-segment elevation myocardial infarction was referred to our institution for primary percutaneous coronary intervention. Coronary angiography showed severe left main stem (LMS) and left anterior descending coronary artery (LAD) stenosis ( Figures 1A and 1B ). Intravascular ultrasound (IVUS) revealed spontaneous coronary artery dissection (SCAD) with extensive intramural hematoma (IMH) ( Figures 1C and 1D ). Four minimally overlapped Absorb bioresorbable scaffolds (BRS) (Abbott Vascular, Abbott Park, Illinois) were implanted from the distal LAD to the LMS (3.0 × 28 mm; 3.5 × 28 mm; 3.5 × 12 mm, and 3.5 × 28 mm) and post-dilated ...
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