All-comer treatment with bioresorbable vascular scaffold

Wiener klinische Wochenschrift
Matjaž BuncPeter Rakovec

Abstract

Bioresorbable vascular scaffolds (BVS) could overcome drug-eluting stents (DES) drawbacks connected with their permanent presence in the vessel wall. Studies exploring the clinical use of BVS are limited to the patients presenting with noncomplex, short and stable lesions. There are no prospective and randomized studies available in all-comer patients. We analyzed 31 patients, who received at least one BVS (Absorb(™)) between September 1, 2012 and November 1, 2014. Median follow-up period was 424 days. In one (3.2%) patient, we performed a target vessel revascularization (TVR). The death rate was 6.5%. One (3.2%) patient, who received both BVS and a bare metal stent (BMS), died of an acute stent thrombosis 8 days after the initial procedure. One (3.2%) patient died of a non-cardiac death. We did not encounter any target lesion revascularization (TLR) or myocardial infarction (MI). The major adverse cardiac events (MACE) rate was 3.2%. Implantation of BVS is a safe treatment option. Lesions should be carefully selected and prepared before BVS implantation. We need more data about the safety of BVS and BMS overlapping.

References

Sep 4, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Tommaso GoriThomas Münzel
Dec 18, 2013·JACC. Cardiovascular Interventions·Vladimír Džavík, Antonio Colombo
Jul 1, 2014·Journal of Cardiovascular Medicine·Igor Kranjec, Dinko Z Dzananovic
Jul 22, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Davide CapodannoCorrado Tamburino
Sep 23, 2014·JACC. Cardiovascular Interventions·Toru NaganumaAntonio Colombo
Dec 3, 2014·International Journal of Cardiology·Jens WiebeHolger M Nef
Dec 17, 2014·Journal of the American College of Cardiology·Jens WiebeChristian W Hamm
Feb 11, 2015·The Canadian Journal of Cardiology·Fernando RiveroFernando Alfonso

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