Safety and Efficacy Outcomes of Bioresorbable Scaffolds in Long Segment Coronary Lesions


GÜNEŞ H. M., GÖKDENİZ T., KARACA İ. O., DEMİR G. G., KIZILIRMAK F., GÜLER E., ...More

Koşuyolu Heart Journal, vol.21, no.1, pp.53-60, 2018 (Peer-Reviewed Journal) identifier

  • Publication Type: Article / Article
  • Volume: 21 Issue: 1
  • Publication Date: 2018
  • Doi Number: 10.5578/khj.63938
  • Journal Name: Koşuyolu Heart Journal
  • Journal Indexes: TR DİZİN (ULAKBİM)
  • Page Numbers: pp.53-60
  • Istanbul Medipol University Affiliated: Yes

Abstract

Introduction: There is limited knowledge about the use of bioresorbable scaffolds (BRSs) in long segmentcoronary artery lesions. We aimed to evaluate the clinical outcomes of BRS-BRS and drug eluting stents(DESs)-BRS overlapping applications.Patients and Methods: Cross-sectional, single-center study between 2013 and 2016 enrolled 97 patientsand 100 lesions scheduled for BRS placement in long segment lesions (> 28 mm). BRS-BRS overlap wasperformed in 30 patients and 30 lesions, DES-BRS overlap was performed in 67 patients and 70 lesions. Acuteprocedural success and major adverse cardiac events (MACE) (death, stent thrombosis, and target lesionreintervention) were assessed.Results: Acute procedural success was 97.1% in the overall group. MACE was observed in 6 patients (6.2%)in the entire group, 4 (5.9%) in the DES-BRS group, and 2 (6.6%) in the BRS-BRS group.Conclusion: BRS use might be a safe and effective option for the treatment of long segment lesions. BothBRS-BRS overlap and BRS-DES overlap may be performed with short overlap segment.