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Managing bioabsorbable vascular scaffold failure: combined scaffold restenosis and late-acquired coronary aneurysm treated with self-expandable stent.

Abstract
A 50-year-old man underwent coronary angiography for stable angina with evidence of chronic total occlusion of the right coronary artery. Chronic total occlusion recanalization was performed with implantation of 4 overlapping bioresorbable vascular scaffolds. At 12 months, elective follow-up coronary angiography documented an asymptomatic 90% in-scaffold restenosis of the right coronary artery located in the mid portion of a newly late-acquired aneurysm. To address the challenging issue introduced by the varying reference vessel diameters, a self-expandable stent was implanted.
AuthorsAlessio La Manna, Andrea Mangiameli, Davide Capodanno, Giovanni Longo, Carmelo Sgroi, Corrado Tamburino
JournalThe Canadian journal of cardiology (Can J Cardiol) Vol. 31 Issue 5 Pg. 691.e1-3 (May 2015) ISSN: 1916-7075 [Electronic] England
PMID25936494 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Topics
  • Absorbable Implants (adverse effects)
  • Angioplasty, Balloon, Coronary (methods)
  • Coronary Aneurysm (diagnostic imaging, therapy)
  • Coronary Angiography (methods)
  • Coronary Restenosis (diagnostic imaging, therapy)
  • Coronary Stenosis (diagnostic imaging, therapy)
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Prosthesis Design
  • Prosthesis Failure
  • Retreatment (methods)
  • Risk Assessment
  • Severity of Illness Index
  • Stents
  • Tissue Scaffolds (adverse effects)
  • Treatment Outcome

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