Managing bioabsorbable vascular scaffold failure: combined scaffold restenosis and late-acquired coronary aneurysm treated with self-expandable stent.
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.
Ferrarotto Hospital, University of Catania, Catania, Italy.
Alessio
A
La Manna
Ferrarotto Hospital, University of Catania, Catania, Italy. Electronic address: mangiaferla@gmail.com.
Andrea
A
Mangiameli
Ferrarotto Hospital, University of Catania, Catania, Italy.
Davide
D
Capodanno
Ferrarotto Hospital, University of Catania, Catania, Italy.
Giovanni
G
Longo
Ferrarotto Hospital, University of Catania, Catania, Italy.
Carmelo
C
Sgroi
Ferrarotto Hospital, University of Catania, Catania, Italy.
Corrado
C
Tamburino
D020341:Absorbable Implants / Q000009:adverse effects; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D017023:Coronary Angiography / Q000379:methods; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019233:Retreatment / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D054457:Tissue Scaffolds / Q000009:adverse effects*; D016896:Treatment Outcome