1. Bioresorbable vascular scaffolds for a long diffuse coronary lesion: insights from optical coherence tomography at 25-month follow-up

    Bioresorbable vascular scaffolds for a long diffuse coronary lesion: insights from optical coherence tomography at 25-month follow-up

    A 57-year-old man with crescendo angina had a long segment of diffuse lesion in the left anterior descending artery (LAD) (Fig. 1A). Surgical revascularisation was precluded due to poor distal targets, so the patient underwent percutaneous coronary intervention. Overlapping drug eluting stents (DESs) would have resulted in a full metal jacket, which poses long-term risk of stent thrombosis and restenosis, which are often difficult to treat. Considering these issues, we used three overlapping bioresorbable vascular scaffolds (BVS) following adequate lesion preparation (Fig. 1B–D). At the LAD/first-diagonal (D1) bifurcation we used a short DES that overlapped the BVS to ...

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