Efecto del armazón bioabsorbible liberador de everolimus en la aterosclerosis coronaria

Translated title of the contribution: Impact of the Everolimus-eluting Bioresorbable Scaffold in Coronary Atherosclerosis

Carlos M. Campos, Hector M. Garcia-Garcia, Takashi Muramatsu, Pedro De Araujo Gonçalves, Yoshinobu Onuma, Dariusz Dudek, Leif Thuesen, Mark W.I. Webster, Pieter Kitslaar, Susan Veldhof, Johan H.C. Reiber, Koen Nieman, John A. Ormiston, Patrick W. Serruys

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)

Abstract

Introduction and objectives The Absorb bioresorbable vascular scaffold has been shown to decrease total plaque areas in the treated segment. However, it is unknown whether plaque size is modified in scaffolded segments only or whether the modification extends to other coronary segments. Methods Absorb Cohort A is a single-arm, prospective study, with safety and imaging endpoints, in which 30 patients underwent percutaneous coronary intervention with the first generation Absorb bioresorbable vascular scaffold. Noninvasive multislice computed tomography imaging was performed in 18 patients at 18 months and 5 years of follow-up. The present study was an intrapatient comparison of matched segments (normalized by the segment length) of the scaffolded region with nonintervened segments for lumen volume, vessel volume, plaque volume, plaque burden, and percent change in plaque atheroma volume. Results All 18 scaffolded segments could be analyzed. In the nonintervened segments, 1 of 72 segments had a motion artifact and was excluded. Serial comparison showed that the scaffolded segments showed no significant change in the mean plaque burden, total atheroma volume, total lumen volume, or vessel volume between 18 months and 5 years. Conversely, the untreated segments showed a significant increase in plaque burden (2.7 ± 6.5%; P <.01) and normalized plaque volumes (8.0 ± 22.8 mm3; P <.01). This resulted in a significant difference in plaque burden between scaffolded and nonintervened segments (P =.03). Conclusions In this small series, the Absorb bioresorbable vascular scaffold showed the potential to provide an additional benefit to pharmacological therapy in locally reducing progression of percent plaque burden. These findings need to be confirmed in larger studies. Full English text available from: www.revespcardiol.org/en.

Translated title of the contributionImpact of the Everolimus-eluting Bioresorbable Scaffold in Coronary Atherosclerosis
Original languageSpanish
Pages (from-to)109-116
Number of pages8
JournalRevista Espanola de Cardiologia
Volume69
Issue number2
DOIs
Publication statusPublished - 01-02-2016
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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