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

CORONARY INTERVENTIONS

Novel indication for bioabsorbable scaffolds in metal allergy

EuroIntervention 2014;10:495 published online ahead of print December 2013. DOI: 10.4244/EIJV10I4A84

Oxford University Hospitals, Oxford, United Kingdom
A 74-year-old female with exertional breathlessness and a metal allergy underwent angiography following positive stress echocardiography. This demonstrated severe calcific disease of the left anterior descending artery (LAD) (Figure 1A). Percutaneous intervention (PCI) was offered after the failure of medical therapy.



Figure 1. A) Calcified mid-LAD lesion. B) Unsuccessful predilation (significant wasting). C) Post-rotablation lesion expansion. D) Result following two overlapping Abbott BVS.

Patch testing confirmed allergy to nickel and cobalt. Most stent platforms contain alloys that include nickel (Table 1), which may contribute to restenosis in this context.



Balloon predilation was unsuccessful (Figure 1B). Therefore, rotablation ...

Sign in to read and download the full article

Forgot your password?
No account yet? Sign up for free!
Create my pcr account

Join us for free and access thousands of articles from EuroIntervention, as well as presentations, videos, cases from PCRonline.com

Read next article

A rare cause of transient ischaemic attack in a young man: cardiac papillary fibroelastoma