The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)

Coronary interventions

A very late thrombosis in a bioresorbable vascular scaffold

EuroIntervention 2015;11:e1 published online e-article November 2015. DOI: 10.4244/EIJV11I7A158

Fondazione Cardiocentro Ticino, Lugano, Switzerland
A 36-year-old gentleman was admitted with inferior STEMI due to a very late thrombosis (565 days) of a 3.5×12 mm bioresorbable vascular scaffold (BVS) (Absorb; Abbott Vascular, Santa Clara, CA, USA) in the distal right coronary artery (RCA) (Figure 1B, Moving image 1). The BVS had been previously implanted for an acute thrombotic occlusion of the vessel (Figure 1A). After the implant, a standard dual antiplatelet therapy (DAPT) with aspirin 100 mg and prasugrel 75 mg per day was prescribed for 12 months and then discontinued in favour of aspirin alone. After mechanical thrombectomy in the BVS, optical coherence tomography (OCT) (Moving image 2) showed residual thrombus ...

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