Journal Information
Vol. 33. Issue 9.
Pages 575-576 (September 2014)
Share
Share
Download PDF
More article options
Vol. 33. Issue 9.
Pages 575-576 (September 2014)
Image in Cardiology
Open Access
Assessment of bioabsorbable scaffolds by multislice computed tomography angiography
Avaliação de stents bioabsorvíveis por angiografia por tomografia computadorizada multidetetores
Visits
5519
Rita Faria
Corresponding author
rita.d.faria@gmail.com

Corresponding author.
, Ricardo Ladeiras-Lopes, Nuno Bettencourt, Nuno Ferreira, Alberto Rodrigues, Vasco Gama
Serviço de Cardiologia1, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal
This item has received

Under a Creative Commons license
Article information
Full Text
Download PDF
Statistics
Figures (1)
Full Text

Even with recent advances in computed tomography (CT) imaging of coronary stents, blooming is still an important limitation in the assessment of stents. Recently, the introduction of bioabsorbable radiolucent scaffolds has allowed almost unrestricted imaging of the stent lumen.

A 68-year-old man with a history of coronary artery disease was admitted with non-ST-elevation myocardial infarction. Coronary angiography revealed 95% stenosis of the proximal left anterior descending artery (Figure 1A1). The patient underwent percutaneous coronary intervention with implantation of a 3.5 mm×18 mm bioabsorbable everolimus-eluting poly(lactic acid) scaffold (Abbott Vascular, Santa Clara, CA) (Figure 1A2). As part of a prospective study, 64-slice CT angiography (SOMATOM Sensation 64 scanner, Siemens, Forchheim, Germany) was performed at the first month follow-up. Radiopaque indicators (arrows) at the edges of the scaffold were the only discernible traces on volume-rendered imaging (Figure 1B) and in maximum intensity projection reconstructions (Figure 1C).

Figure 1.

Coronary angiography, showing significant left anterior descending stenosis (A1) and angiographic outcome after placement of a bioabsorbable scaffold (A2). Multislice computed tomography angiography: volume rendering (B) and maximum intensity projection reconstructions (C), revealing the radiopaque indicators (arrows) at the edges of the scaffold. Virtual histology technique showing the non-calcified atherosclerotic plaque (arrows) excluded by the stent (D).

(0.24MB).

Virtual histology (Aquarius workstation, TeraRecon Inc., San Mateo, CA) showed the non-calcified atherosclerotic plaque (arrows) excluded by the stent (Figure 1D). Cross-sectional in-stent lumen areas were measured, with a minimal lumen area of 5.54 mm2. No significant lumen loss was detected.

This case illustrates the new opportunities generated by the use of novel bioabsorbable scaffolds. CT angiography indications may expand to the follow-up of smaller stented vessels and new insights into the process of atherosclerotic healing after stenting can be expected.

Ethical disclosuresProtection of human and animal subjects

The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data

The authors declare that they have followed the protocols of their work center on the publication of patient data.

Right to privacy and informed consent

The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.

Conflicts of interest

The authors have no conflicts of interest to declare.

Please cite this article as: Faria R, Ladeiras-Lopes R, Bettencourt N, Ferreira N, Rodrigues A, Gama V. Avaliação de stents bioabsorvíveis por angiografia por tomografia computadorizada multidetetores 2014. Rev Port Cardiol. 2014;33:575–576.

Copyright © 2014. Sociedade Portuguesa de Cardiologia
Download PDF
Idiomas
Revista Portuguesa de Cardiologia (English edition)
Article options
Tools
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.