Revascularization improves mortality in elderly patients with acute myocardial infarction complicated by cardiogenic shock
2014
implantation of a BVS, an emerging effective treatment for de-novo coronary artery disease [3] allowed for satisfactory treatment of both the ISR and the in-segment disease. Figure legend: Optical coherence tomography (OCT) appearance pre-implantation of a bioresorbable vascular scaffold (BVS) with significant neointimal proliferation over two layers of stent struts following pre-dilatation to facilitate adequate contrast flow for OCT (Panel A) with significant atheroma also seen at the proximal nonstented segment (Panel B) with balloon related dissection also present. Absorb 3.5 × 18 mm BVS with adequate BVS expansion and apposition over the two previously placed layers of metallic stent struts (Panels C, D and zoomed up image Panel E). Baseline angiographic image before any balloon dilatation (Panel F) shows severe in-stent and significant in-segment stenosis. Final angiographic appearance post BVS was satisfactory (Panel G).
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