title: Bioresorbable vascular scaffold (BVS) for in-stent chronic total occlusion: Antegrade recanalization and IVUS-guided BVS implantation by radial access.
abstract: The completely absorbable stents represent one of the latest innovations in the field of interventional cardiology, prospecting the possibility of "vascular repair". In the published trials (ABSORB Cohort A and B, ABSORB EXTEND, and ABSORB II, III and IV) chronic total occlusions (CTOs) were considered an exclusion criteria. More recently the CTO-ABSORB pilot study demonstrated the safety and feasibility of bioresorbable vascular scaffold (BVS) use in case of CTO recanalization. We present the first case, to our knowledge, of in-stent occlusion successfully treated with an everolimus-eluting BVS and discuss its potential advantages in such kind of lesions.
authors.affiliation: Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Milano, Italy.
authors.forename: Massimo
authors.initials: M
authors.lastname: Medda
authors.affiliation: Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Milano, Italy. Electronic address: frcasill@tin.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Casilli
authors.affiliation: Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Milano, Italy.
authors.forename: Marta
authors.initials: M
authors.lastname: Bande
authors.affiliation: Cardiologia Interventistica, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy.
authors.forename: Maria Giulia
authors.initials: MG
authors.lastname: Latini
authors.affiliation: Interventional Cardiology Unit, Istituto Clinico Sant'Ambrogio, Milano, Italy.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Ghommidh
authors.affiliation: Unità Operativa di Cardiologia, Azienda Ospedaliera di Melegnano, Milano, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Del Furia
authors.affiliation: Interventistica Cardiovascolare, Gruppo Sanitario Policlinico di Monza, Milano, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Inglese
mesh_terms: D020341:Absorbable Implants; D002908:Chronic Disease; D017023:Coronary Angiography; D054855:Drug-Eluting Stents; D000068338:Everolimus / Q000627:therapeutic use; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D017534:Radial Artery / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*
chemical_list: D000068338:Everolimus
keywords: Bioresorbable vascular scaffold (BVS) implantation; Chronic total occlusion (CTO); Intravascular ultrasound (IVUS); Restenosis