Pernigotti Alberto, Moscarella Elisabetta, Spitaleri Giosafat, Scardino Claudia, Ishida Kohki, Brugaletta Salvatore
Hospital Clinic, Institut Clinic Cardiovascular, IDIBAPS, Barcelona, Spain.
J Thorac Dis. 2017 Aug;9(Suppl 9):S959-S968. doi: 10.21037/jtd.2017.06.110.
Bioresorbable vascular scaffolds (BRS) represent a novel approach for coronary revascularization offering several advantages as compared to current generation DES, potentially reducing rate of late adverse events and avoiding permanent vessel caging. Nevertheless, safety concerns have been raised for an increased risk of scaffold thrombosis (ScT) in both early and late phases, probably related to a suboptimal scaffold implantation. In this context, the use of different imaging methodologies has been strongly suggested in order to guarantee an optimal implantation. We herein analyze the different imaging methodologies available to assess BRS after implantation and at follow-up.
生物可吸收血管支架(BRS)是一种用于冠状动脉血运重建的新方法,与当代药物洗脱支架(DES)相比具有诸多优势,有可能降低晚期不良事件的发生率并避免血管永久性置入。然而,人们对早期和晚期支架内血栓形成(ScT)风险增加的安全性问题表示担忧,这可能与支架植入不理想有关。在这种情况下,强烈建议使用不同的成像方法以确保最佳植入效果。我们在此分析了可用于评估植入后及随访期BRS的不同成像方法。