Restored Physiological Vasomotion Imitating Intrascaffold Restenosis 3 Years After Bioresorbable Scaffold Implantation

Can J Cardiol. 2016 Dec;32(12):1574.e9-1574.e10. doi: 10.1016/j.cjca.2016.02.069. Epub 2016 Mar 3.

Abstract

Bioresorbable vascular scaffolds (BVSs) have recently been introduced into clinical practice; they have many potential advantages, 1 of which includes restoring physiological vasomotion. It has been shown that the degree of vasomotion is correlated with bioresorption. We present a case of intrascaffold spasm masquerading as restenosis 3 years after implantation, despite the ongoing process of bioresorption: intra-BVS vasospasm should therefore be considered and confirmed by intracoronary nitrate administration.

Publication types

  • Case Reports

MeSH terms

  • Absorbable Implants / adverse effects*
  • Aged
  • Angina, Stable* / physiopathology
  • Angina, Stable* / surgery
  • Blood Vessel Prosthesis / adverse effects
  • Blood Vessel Prosthesis Implantation / adverse effects
  • Blood Vessel Prosthesis Implantation / methods
  • Coronary Angiography / methods
  • Equipment Failure Analysis
  • Humans
  • Male
  • Nitroglycerin / administration & dosage*
  • Percutaneous Coronary Intervention* / adverse effects
  • Percutaneous Coronary Intervention* / instrumentation
  • Percutaneous Coronary Intervention* / methods
  • Prosthesis Design
  • Recurrence
  • Tissue Scaffolds / adverse effects*
  • Treatment Outcome
  • Vasoconstriction / drug effects*
  • Vasodilator Agents / administration & dosage

Substances

  • Vasodilator Agents
  • Nitroglycerin