Optical coherence tomography of a bifurcation lesion treated with bioresorbable vascular scaffolds with the 'mini-Crush' technique

摘要

A 51-year-old man was referred for coronary angiography following a positive scintigraphy test for anterior and anterolateral ischemia. Angiography showed a chronic total occlusion of the mid left anterior descending coronary artery (LAD) and stenosis of the ostial first diagonal branch (Fig. 1). The total occlusion of the LAD was crossed, and rotablation was performed. A 2.5 x 28-mm Absorb bioresorbable vascular scaffold (BVS) stent (Abbott Vascular, Santa Clara, California) was implanted in the LAD just distal to the first diagonal. A second 2.5 x 18-mm Absorb was implanted in the first diagonal branch.