title: Optimisation of percutaneous coronary intervention: indispensables for bioresorbable scaffolds.
abstract: BACKGROUND
  With new developments in percutaneous coronary intervention (PCI), such as the introduction of bioresorbable scaffolds (BRS), percutaneous treatment of coronary artery diseases has entered a new era. Without metallic remnants, BRSs appear able to overcome several limitations of the existing metallic stents and provide a physiologic treatment of coronary artery pathology.
  
  
  METHODS
  BRS have different mechanical properties compared to the traditional metallic stents that should be taken into account during their implantation. Lesion selection, device sizing and satisfied pre-dilatation should be implemented prudently. Although intravascular imaging is not mandatory for the implantation of BRSs it may have a value in optimizing device deployment assess final results and reduce the risk of device related adverse events such as re-stenosis, or scaffold thrombosis. This review aims to reveal the crucial points about the methods of optimization in each steps of BRS implantation. Expert commentary: The target lesions for BRS should be selected meticulously. Pre-dilatation, post-dilatation and intra-vascular imaging techniques should be implemented appropriately to avoid undesirable events after scaffold implantation.
authors.affiliation: a Department of Cardiology, ThoraxCentre , Erasmus Medical Center , Rotterdam , The Netherlands.
authors.forename: Erhan
authors.initials: E
authors.lastname: Tenekecioglu
authors.affiliation: b Institute of Cardiovascular Sciences , University College of London , London , UK.|c Department of Cardiology , Barts Health NHS Trust , London , UK.
authors.forename: Christos V
authors.initials: CV
authors.lastname: Bourantas
authors.affiliation: d Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Abdelghani
authors.affiliation: d Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: Yohei
authors.initials: Y
authors.lastname: Sotomi
authors.affiliation: a Department of Cardiology, ThoraxCentre , Erasmus Medical Center , Rotterdam , The Netherlands.|d Academic Medical Center , University of Amsterdam , Amsterdam , The Netherlands.
authors.forename: Pannipa
authors.initials: P
authors.lastname: Suwannasom
authors.affiliation: a Department of Cardiology, ThoraxCentre , Erasmus Medical Center , Rotterdam , The Netherlands.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Tateishi
authors.affiliation: a Department of Cardiology, ThoraxCentre , Erasmus Medical Center , Rotterdam , The Netherlands.
authors.forename: Yoshinobu
authors.initials: Y
authors.lastname: Onuma
authors.affiliation: e Department of Cardiology , Bursa Postgraduate Research and Education Hospital , Bursa , Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Yılmaz
authors.affiliation: a Department of Cardiology, ThoraxCentre , Erasmus Medical Center , Rotterdam , The Netherlands.|f International Centre for Circulatory Health , Imperial College , London , UK.
authors.forename: Patrick W
authors.initials: PW
authors.lastname: Serruys
mesh_terms: D020341:Absorbable Implants; D003324:Coronary Artery Disease / Q000628:therapy*; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D015607:Stents; D054457:Tissue Scaffolds; D016896:Treatment Outcome
keywords: Bioresorbable scaffold; intracoronary imaging; intravascular ultrasound; optical coherence tomography; optimal stent implantation