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


Coronary perforation after bioresorbable vascular scaffold implantation

EuroIntervention 2015;10:e1-e2 published online e-article April 2015. DOI: 10.4244/EIJV10I12A253

Heart Disease Institute, Hospital Universitari de Bellvitge - IDIBELL, Hospitalet de Llobregat, Barcelona, Spain
A 67-year-old-man with hypertension and hypercholesterolaemia presented with unstable angina. The patient was admitted and studied with exercise echocardiography showing normal left ventricular function and moderate hypokinesia in the posterior wall during exercise. The coronarography showed a severe lesion in the right posterior descending coronary artery.

The patient was informed of the ABSORB II trial and agreed to participate in the study. The QCA-derived proximal and distal maximal luminal diameters of the segment to be scaffolded were 2.79 and 2.87 mm, respectively. After predilatation with a 2.5×14 mm semi-compliant balloon at low pressure, ECG-gated 45 MHz IVUS imaging was performed (Revolution®; Volcano Corp., ...

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