Hybrid Percutaneous Coronary Intervention With Bioresorbable Vascular Scaffolds in Combination With Drug-Eluting Stents or Drug-Coated Balloons for Complex Coronary Lesions

Akihito Tanaka, Richard J. Jabbour, Satoru Mitomo, Azeem Latib, Antonio Colombo

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Bioresorbable vascular scaffolds (BVS) have become an attractive option in the percutaneous coronary intervention field due to the potential advantages associated with the complete resorption process that occurs within a few years. However, current-generation BVS have several limitations including thicker struts, reduced radial strength, and limited expansion capability when compared with drug-eluting stents (DES). As a result, complex coronary disease often contains BVS-inappropriate/unfavorable segments. This does not necessarily mean that BVS use must be completely avoided, and minimizing the length of permanent metallic caging may still be advantageous. Operators should fully understand the limitations of current BVS, and when to consider a hybrid strategy of BVS in combination with DES or drug-coated balloons.

Original languageEnglish (US)
Pages (from-to)539-547
Number of pages9
JournalJACC: Cardiovascular Interventions
Volume10
Issue number6
DOIs
StatePublished - Mar 27 2017
Externally publishedYes

Keywords

  • bioresorbable scaffold
  • drug-coated balloon
  • drug-eluting stent(s)

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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