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A case report of a recurrent early and late Bioresorbable vascular scaffold thrombosis: serial angiography and optical coherence tomography findings

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Author(s)
Cheol Hyun LeeYun-Kyeong ChoHyuck-Jun YoonSeung-Ho Hur
Keimyung Author(s)
Lee, Cheol HyunCho, Yun KyeongYoon, Hyuck JunHur, Seung Ho
Department
Dept. of Internal Medicine (내과학)
Journal Title
BMC cardiovascular disorders
Issued Date
2020
Volume
20
Issue
1
Keyword
Bioresorbable vascular scaffoldScaffold thrombosisOptical coherence tomographyAcute coronary syndromes
Abstract
Background:
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.

Case presentation:
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.

Conclusion:
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.
Keimyung Author(s)(Kor)
이철현
조윤경
윤혁준
허승호
Publisher
School of Medicine (의과대학)
Citation
Cheol Hyun Lee et al. (2020). A case report of a recurrent early and late Bioresorbable vascular scaffold thrombosis: serial angiography and optical coherence tomography findings. BMC cardiovascular disorders, 20(1), 146. doi: 10.1186/s12872-020-01426-z
Type
Article
ISSN
1471-2261
Source
https://bmccardiovascdisord.biomedcentral.com/articles/10.1186/s12872-020-01426-z
DOI
10.1186/s12872-020-01426-z
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42973
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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