CORONARY INTERVENTIONS

Plaque protrusion compromising bioresorbable coronary scaffold patency

EuroIntervention 2016;12:873. DOI: 10.4244/EIJV12I7A142

Vincent Floré1*, MD, PhD; Mariano Pellicano1, MD; Julien Adjedj1, MD; Angela Ferrara1, MD; Kris Van Der Steen2, MD; Jozef Bartunek1, MD, PhD

1. Cardiovascular Center, OLV Clinic Aalst, Aalst, Belgium; 2. Pathologische Ontleedkunde, OLV Clinic Aalst, Aalst, Belgium

The patient was a 53-year-old (male) suffering from unstable angina due to stenosis of the left anterior descending (LAD) artery. After 2.5 mm balloon predilatation (12 atm), a 3.0×28 mm bioresorbable vascular scaffold (BVS) (Absorb™; Abbott Vascular, Santa Clara, CA, USA) was implanted at 14 atm with an angiographically good result (Panel A). The patient was discharged on aspirin and clopidogrel.

Coronary angiography one month later showed a severe lesion in the distal part of the BVS, suggesting in-stent thrombosis (Panel B). Optical coherence tomography (OCT) confirmed mixed thrombus (Panel C, Panel D). With an aspiration catheter, a white structure measuring 9×2 ...

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