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- Title
A case report of a recurrent early and late Bioresorbable vascular scaffold thrombosis: serial angiography and optical coherence tomography findings.
- Authors
Lee, Cheol Hyun; Cho, Yun-Kyeong; Yoon, Hyuck-Jun; Hur, Seung-Ho
- Abstract
<bold>Background: </bold>In bioresorbable vascular scaffolds (BVSs), there is some concern about a possible increase in the rate of scaffold thromboses (ScTs). Although several characteristics similarly contribute to the development of both early and late ScTs, there are also clearly different pathomechanisms between the two time-dependent types of thromboses, especially with BVSs.<bold>Case Presentation: </bold>We recently experienced a very rare case of a 69-year-old man who had recurrent early and late ScTs with somewhat differing pathomechanisms as assessed by optical coherence tomography (OCT). For the late ScT, OCT identified a scaffold dismantling in the same place that a peri-strut low intensity area (PLIA) was observed in the previous OCT finding.<bold>Conclusion: </bold>We report the management of an ScT in a case with findings such as a heterogeneous a BVS degradation, peri-strut low intensity area (PLIA), intraluminal scaffold dismantling, and under-sizing and/or stent malapposition observed in OCT.
- Subjects
BIOABSORBABLE implants; OPTICAL coherence tomography; THROMBOSIS; ANGIOGRAPHY; ACUTE coronary syndrome
- Publication
BMC Cardiovascular Disorders, 2020, Vol 20, Issue 1, p1
- ISSN
1471-2261
- Publication type
case study
- DOI
10.1186/s12872-020-01426-z