Ferrarotto Hospital, University of Catania, Catania, Italy.
EuroIntervention. 2015 May;11(1):45-52. doi: 10.4244/EIJY15M01_05.
Next to patient characteristics, the lack of a standardised approach for bioresorbable vascular scaffold (BVS) implantation is perceived as a potential explanation for the heterogeneous results reported so far. To provide some guidance, we sought to find a consensus on the best practices for BVS implantation and management across a broad array of patient and lesion scenarios.
Fourteen European centres with a high volume of BVS procedures combined their efforts in an informal collaboration. To get the most objective snapshot of different practices among the participating centres, a survey with 45 multiple choice questions was prepared and conducted. The results of the survey represented a basis for the technical advice provided in the document, whereas areas of controversy are highlighted.
Consensus criteria for patient and lesion selection, BVS implantation and optimisation, use of intravascular imaging guidance, approach to multiple patient and lesion scenarios, and management of complications, were identified.
除了患者特征外，生物可吸收血管支架（BVS）植入缺乏标准化方法，这被认为是迄今为止报告的结果存在异质性的一个潜在原因。为了提供一些指导，我们试图就广泛的患者和病变情况下 BVS 植入和管理的最佳实践达成共识。
14 家欧洲中心拥有大量的 BVS 手术经验，它们在一次非正式合作中联合起来。为了更客观地了解参与中心之间的不同实践，我们准备并进行了一项包含 45 个多项选择题的调查。该调查的结果为文件中提供的技术建议提供了依据，同时突出了存在争议的领域。
确定了患者和病变选择、BVS 植入和优化、血管内成像指导的使用、多种患者和病变情况的处理方法以及并发症管理的共识标准。
