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RMJ. 2016; 41(4): 492-495

Bioresorbable vascular scaffold thrombosis

Gohar Jamil, Mujgan Jamil, Shoab Shah, Khalid Assim Karkout, Mohammad Nour El-Nour..

44 year old female with multiple coronary artery disease (CAD) risk factors presented with chest pain and ECG showing anterior ST elevations. Urgent cardiac catheterization revealed thrombotic occlusion of the Left anterior descending artery (LAD) and a 90% lesion was noted in the left Circumflex artery (LCx). Instead of the traditional drug eluting stents, both lesions were fixed with bioresorbable vascular scaffolds (BVS). BVS technology is a new promising alternative to Drug eluting stent (DES). The idea of less permanence and” leaving nothing behind” after interventional procedure is a very exciting concept. Post procedure day 5, the patient developed recurrent chest pain and ST elevations in anterior chest leads. Coronary angiography showed LAD scaffold thrombosis, and a patent BVS in LCx. Flow was restored in the LAD by placing a DES inside the BVS. Coronary angiogram done three years later shows both devices to be patent.

Key words: Acute coronary syndrome, Coronary artery disease, Bioresorbable vascular scaffolds, Drug eluting stents, Primary cardiac intervention, Angiography

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