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Coronary interventions

Very late bioresorbable vascular scaffold thrombosis: a new clinical entity

EuroIntervention 2015;11:e1-e2 published online e-article May 2015. DOI: 10.4244/EIJV11I1A14

Department of Medicine, Montreal Heart Institute, University of Montreal, Montreal, QC, Canada
An 81-year-old woman presented with non-ST segment elevation myocardial infarction (NSTEMI). One-vessel disease was diagnosed: type C, 80% stenosis in the mid left anterior descending artery (LAD), distal to a bare metal stent (BMS) implanted in 2002 in the proximal-mid LAD, and further treated with brachytherapy in 2003 due to in-stent restenosis (Figure 1A, Moving image 1). The patient underwent implantation of an Absorb Bioresorbable Vascular Scaffold (BVS) (3.0×28 mm) (Abbott Vascular, Santa Clara, CA, USA), which overlapped with the BMS, in the mid-distal LAD, followed by post-dilatation (3.25×20 mm non-compliant balloon at 20 atm). The final result was optimal (Figure 1B, Moving image 2). Fourteen months after ...

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