title: Fracture with the newer bioresorbable vascular scaffolds.
abstract: Bioresorbable vascular scaffolds (BVS) are being increasingly used in complex, real-world lesions. The possibility of strut fractures is a rare entity with the use of drug eluting stents (DES), but has not yet been adequately described for the BVS technology. In this report, we present a case of scaffold fracture of DEsolve BVS (Elixir Medical Corporation, USA) that was diagnosed both angiographically and by optical coherence tomography(OCT). Scaffold fracture with the newer BVS is a new Achilles' heel in the BVS technology. This gap in knowledge about the etiology such as over-expansion and potential predictors of strut fracture need to be deeply investigated before a widespread use of such technologies is adopted. © 2017 Wiley Periodicals, Inc.
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy.|Faculty of medicine, Alexandria University, Alexandria, Egypt.
authors.forename: Mostafa
authors.identifier: http://orcid.org/0000-0002-2274-2203
authors.initials: M
authors.lastname: Elwany
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy.
authors.forename: Gaetano
authors.initials: G
authors.lastname: Di Palma
authors.affiliation: Interventional Cardiology, A.O. Fatebenefratelli, Milano, Italy.|Fondazione G. Monasterio CNR-Regione Toscana, Pisa, Massa, Italy.
authors.forename: Bernardo
authors.identifier: http://orcid.org/0000-0001-5314-2879
authors.initials: B
authors.lastname: Cortese
mesh_terms: D020341:Absorbable Implants; D000368:Aged; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000295:instrumentation*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D019233:Retreatment; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome
keywords: bioresorbable vascular scaffold; scaffold fracture