title: Bioresorbable vascular scaffold for very late stent thrombosis resulting from ruptured neoatherosclerosis.
abstract: Very late stent thrombosis is a rare but devastating complication after percutaneous coronary revascularization. Pathological studies have demonstrated that neoatherosclerosis plays a major role in certain patients with very late stent thrombosis. Optical coherence tomography is able to unravel the underlying pathophysiology and may be used to select the best treatment option. This case report describes the use of a bioresorbable vascular scaffold (BVS) in a patient suffering from very late stent thrombosis due to a complicated plaque in the setting of intrastent neoatherosclerosis. To our knowledge, this therapeutic strategy has not been previously reported in patients suffering from very late stent thrombosis. In this scenario, BVS implantation might represent an attractive strategy in selected patients.
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Teresa
authors.initials: T
authors.lastname: Bastante
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Fernando
authors.initials: F
authors.lastname: Rivero
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Javier
authors.initials: J
authors.lastname: Cuesta
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: M Cruz
authors.initials: MC
authors.lastname: Aguilera
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Daniel
authors.initials: D
authors.lastname: Rodríguez
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain.
authors.forename: Amparo
authors.initials: A
authors.lastname: Benedicto
authors.affiliation: Cardiac Department, Hospital Universitario de La Princesa, Madrid, Spain. Electronic address: falf@hotmail.com.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alfonso
mesh_terms: D020341:Absorbable Implants; D006801:Humans; D062645:Percutaneous Coronary Intervention; D015607:Stents; D013927:Thrombosis; D041623:Tomography, Optical Coherence
keywords: Bioresorbable vascular scaffolds; Neoateroasclerose; Neoatherosclerosis; Optical coherence tomography; Stent thrombosis; Suportes vasculares biorreabsorbíveis; Tomografia de coerência ótica; Trombose de stent