Are acute coronary syndromes an ideal scenario for bioresorbable vascular scaffold implantation?
| Autor: | Roberta De Rosa, Fortunato Scotto di Uccio, Maria Carmen De Angelis, Attilio Varricchio, Elisabetta Moscarella, Gianluca Campo, Alfonso Ielasi, Enrico Cerrato |
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| Přispěvatelé: | Moscarella, E., Ielasi, A., de Angelis, M. C., di Uccio, F. S., Cerrato, E., de Rosa, R., Campo, G., Varricchio, A. |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Review Article 030204 cardiovascular system & hematology Culprit NO 03 medical and health sciences 0302 clinical medicine Bioresorbable vascular scaffold (BRS) medicine In patient Percutaneous coronary intervention (PCI) 030212 general & internal medicine Bioresorbable vascular scaffold Interventional cardiology business.industry fungi medicine.disease Thrombosis Surgery Clinical trial Clinical Practice Increased risk Acute coronary syndrome (ACS) business |
| Popis: | Bioresorbable vascular scaffolds (BRS) represent the latest innovation in the field of interventional cardiology. BRS have recently been introduced in routine clinical practice and their use has progressively extended in everyday clinical practice. The BRS use appears theoretically attractive in patients presenting with acute coronary syndromes (ACS) as they are generally young with long life expectancy, thus possibly benefiting more of the so-called vascular reparative therapy. Furthermore, "culprit" lesions are usually softer and more easily expandable by current BRS compared to stable chronic lesions. However an increased risk of BRS thrombosis has been reported in clinical trials excluding ACS patients. Therefore, concerns have been raised on the safety of BRS implantation in the ACS setting in which the risk of thrombotic recurrences is definitely higher (compared to stable lesions) independently by the device implanted. Aim of this review is to provide an overview of the available data on the BRS performance in ACS patients. |
| Databáze: | OpenAIRE |
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