Twenty-four months follow-up of a “biodegradable” model for coronary artery bifurcations management. Insights from optical coherence tomography of a new interventional strategy
A 53-year-old smoker, hypertensive male was admitted at our Department for an acute coronary syndrome. Echocardiography showed an anteroseptal ipokinesia of the left ventricular wall with mild reduction of the ejection fraction (48%). Coronarography showed a complex Medina-type 1,1,1 bifurcation lesion with subocclusion of the left anterior descending artery (LAD) involving the first-diagonal branch (DIA1) (Fig. 1A, B). After predilatation with a 2.0 mm balloon on DIA1 and a 3.0 mm on mid-LAD, we implanted a 3.5/18 mm bioresorbable vascular scaffold (BVS-Absorb, Abbott, US) on the LAD.