Delayed fracture of a bioresorbable vascular scaffold implanted for in-stent restenosis

A 61-year-old woman presented with effort angina one year after the implantation of a drug-eluting stent (DES) in the mid right coronary artery (RCA). Coronary angiography revealed a proximal “edge” in-stent restenosis (Panel A, arrow; yellow broken line: DES) that was successfully treated with a 3×8 mm bioresorbable vascular scaffold (BVS) (Absorb™; Abbott Vascular, Santa Clara, CA, USA) at 20 bar (Panel B, red broken line: BVS). Optical coherence tomography (OCT) confirmed an excellent expansion and apposition of the BVS (Panel C-Panel E, yellow broken line: DES; red broken line: BVS). One month later she was admitted for an inferior ...