Side branch occlusion in 500 ABSORB BVS Clinical implications and Solutions
European Bifurcation Club 2012 – EBC 2012 – Castelldefels, Spain
“News” session
Side branch occlusion in 500 ABSORB BVS Clinical implications and Solutions
Author: Robert-Jan van Geuns, MD, PhD, Associate Professor,Thoraxcenter, Erasmus Medical Center, Rotterdam, the Netherlands
BACKGROUND
- Periprocedural myocardial infarction (MI) has been associated with unfavorable late clinical outcomes.1-3
- Side branch occlusion contributes to the periprocedural MI.
- Previous drug-eluting metallic stent studies suggest that the incidence of side branch occlusion is presumably attributable to the strut/polymer thickness and width.4,5
- The incidence of side branch occlusion after bioresorbable scaffold implantation has been unexplored.
SUMMARY
- Overall incidence rate of post-procedural side branch occlusion was 5.9% (66/1127).
- BVS can be recrossed if necessary with small balloon
- Kissing should be avoided, POT is possible