Bioresorbable scaffolds for treatment of coronary bifurcation lesions: Critical appraisal and future perspectives

Roberto Diletti, Didier Tchetche, Emanuele Barbato, Azeem Latib, Bruno Farah, Robert Jan van Geuns, Antonio Colombo, Jean Fajadet, Nicolas M. van Mieghem

Research output: Contribution to journalArticlepeer-review

Abstract

Bioresorbable vascular scaffolds have been recently introduced as a novel paradigm for coronary artery disease treatment allowing temporary vessel support and drug delivery without indefinite coronary caging, potentially reducing the long-term limitation of metallic stents. The scientific community has rapidly embraced this concept and bioresorbable devices have been introduced in clinical practice. However, despite the fact that bifurcation lesions represent a large and challenging subset in the field of interventional cardiology, this subgroup of lesions have been avoided in the initial experience with bioresorbable scaffolds and clear recommendations on methodological approaches are lacking. In the present report, we describe the various techniques for bifurcation treatment with bioresorbable scaffolds and the theoretical advantages and disadvantages of this technology in different scenarios, with a glimpse to challenging subsets and possible complications. Therefore, we aim to provide experience based insights and practical guidance for bioresorbable scaffold implantation in bifurcation lesions.

Original languageEnglish
Pages (from-to)397-406
Number of pages10
JournalCatheterization and Cardiovascular Interventions
Volume88
Issue number3
DOIs
Publication statusPublished - Sep 1 2016

Keywords

  • bifurcations
  • bioresorbable vascular scaffolds
  • methodological approaches

ASJC Scopus subject areas

  • Medicine(all)
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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