Ferrarotto Hospital, University of Catania, Catania, Italy.
University of Florida College of Medicine-Jacksonville, Jacksonville, Florida.
JACC Cardiovasc Interv. 2017 Mar 13;10(5):425-437. doi: 10.1016/j.jcin.2016.12.279.
The introduction of bioresorbable vascular scaffolds (BVS) for clinical use has raised a number of questions on whether current dual-antiplatelet therapy (DAPT) recommendations after drug-eluting stent (DES) implantation, mostly deriving from data on second-generation DES, are also applicable to this completely different technology. This article aims to review the technical shortcomings of BVS-the most extensively studied fully bioresorbable coronary stent-and its contemporary rates of scaffold thrombosis, with a focus on recommendations for DAPT duration.
生物可吸收血管支架(BVS)的临床应用引发了一些问题,即目前药物洗脱支架(DES)植入后双抗血小板治疗(DAPT)的建议,主要源自第二代 DES 的数据,是否也适用于这种完全不同的技术。本文旨在回顾 BVS(研究最广泛的全生物可吸收冠状动脉支架)的技术缺陷及其当前支架血栓形成率,并重点介绍 DAPT 持续时间的建议。