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Bioresorbable scaffolds for treatment of coronary bifurcation lesions: Critical appraisal and future perspectives
Author(s) -
Diletti Roberto,
Tchetche Didier,
Barbato Emanuele,
Latib Azeem,
Farah Bruno,
van Geuns RobertJan,
Colombo Antonio,
Fajadet Jean,
van Mieghem Nicolas M.
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26454
Subject(s) - medicine , bioresorbable scaffold , coronary artery disease , interventional cardiology , bifurcation , scaffold , intensive care medicine , cardiology , percutaneous coronary intervention , biomedical engineering , myocardial infarction , physics , nonlinear system , quantum mechanics
Bioresorbable vascular scaffolds have been recently introduced as a novel paradigm for coronary artery disease treatment allowing temporary vessel support and drug delivery without indefinite coronary caging, potentially reducing the long‐term limitation of metallic stents. The scientific community has rapidly embraced this concept and bioresorbable devices have been introduced in clinical practice. However, despite the fact that bifurcation lesions represent a large and challenging subset in the field of interventional cardiology, this subgroup of lesions have been avoided in the initial experience with bioresorbable scaffolds and clear recommendations on methodological approaches are lacking. In the present report, we describe the various techniques for bifurcation treatment with bioresorbable scaffolds and the theoretical advantages and disadvantages of this technology in different scenarios, with a glimpse to challenging subsets and possible complications. Therefore, we aim to provide experience based insights and practical guidance for bioresorbable scaffold implantation in bifurcation lesions. © 2016 Wiley Periodicals, Inc.