Meincke Felix, Kuck Karl-Heinz, Bergmann Martin W
Department of Cardiology, Asklepios Klinik St. Georg, Lohmuehlenstrasse 5, Hamburg, Germany.
Catheter Cardiovasc Interv. 2014 Nov 1;84(5):774-8. doi: 10.1002/ccd.25105. Epub 2014 Jul 30.
The use of bioresorbable vascular scaffolds (BVS) in percutaneous coronary interventions holds great promise and the Absorb® BVS is increasingly used in clinical practice outside of controlled studies. However, questions have been raised concerning the delivery of the scaffold to complex lesions. We describe a case of successful delivery and implantation of two overlapping Absorb® BVS to a complex lesion in the left anterior descending artery. The crossing of the lesions was uneventful and after implantation a good acute result could be documented. A follow-up angiogram after 3 months proofed a stable midterm result. We thereby demonstrate the feasibility of delivering Absorb® BVS to more complex lesions than practiced so far in the setting of clinical trials.
生物可吸收血管支架（BVS）在经皮冠状动脉介入治疗中的应用前景广阔，在对照研究之外，Absorb® BVS越来越多地应用于临床实践。然而，关于该支架在复杂病变中的输送问题已引发关注。我们描述了1例成功将2个重叠的Absorb® BVS输送并植入左前降支复杂病变的病例。病变部位的通过过程顺利，植入后可记录到良好的急性结果。3个月后的随访血管造影显示中期结果稳定。我们由此证明了在临床试验环境中，将Absorb® BVS输送至比目前实践中更复杂病变的可行性。
