TY - JOUR
T1 - Everolimus-eluting bioresorbable vascular scaffolds for treatment of patients presenting with ST-segment elevation myocardial infarction: BVS STEMI first study
AU - Diletti, Roberto
AU - Karanasos, Antonios
AU - Muramatsu, Takashi
AU - Nakatani, S
AU - van Mieghem, Nicolas
AU - Onuma, Yoshinobu
AU - Nauta, Sjoerd
AU - Ishibashi, Y
AU - Lenzen, Mattie
AU - Schultz, Carl
AU - Regar, Evelyn
AU - de Jaegere, Peter
AU - Serruys, PWJC (Patrick)
AU - Zijlstra, Felix
AU - van Geuns, Robert Jan
PY - 2014
Y1 - 2014
N2 - Aims We evaluated the feasibility and the acute performance of the everolimus-eluting bioresorbable vascular scaffolds (BVS) for the treatment of patients presenting with ST-segment elevation myocardial infarction (STEMI). Methods and results The present investigation is a prospective, single-arm, single-centre study, reporting data after the BVS implantation in STEMI patients. Quantitative coronary angiography and optical coherence tomography (OCT) data were evaluated. Clinical outcomes are reported at the 30-day follow-up. The intent-to-treat population comprises a total of 49 patients. The procedural success was 97.9%. Pre-procedure TIMI-flow was 0 in 50.0% of the patients; after the BVS implantation, a TIMI-flow III was achieved in 91.7% of patients and the post-procedure percentage diameter stenosis was 14.7+/-8.2%. No patients had angiographically visible residual thrombus at the end of the procedure. Optical coherence tomography analysis performed in 31 patients showed that the post-procedure mean lumen area was 8.02+/-1.92 mm(2), minimum lumen area 5.95+/-1.61 mm(2), mean incomplete scaffold apposition area 0.118+/-0.162 mm(2), mean intraluminal defect area 0.013+/-0.017 mm(2), and mean percentage malapposed struts per patient 2.80+/-3.90%. Scaffolds with >5% malapposed struts were 7. At the 30-day follow-up, target-lesion failure rate was 0%. Non-target-vessel revascularization and target-vessel myocardial infarction (MI) were reported. Anon-target-vessel non-Q-wave MI occurred. No cases of cardiac death or scaffold thrombosis were observed. Conclusion In the present series, the BVS implantation in patients presenting with acute MI appeared feasible, with high rate of final TIMI-flow III and good scaffold apposition. Larger studies are currently needed to confirm these preliminary data.
AB - Aims We evaluated the feasibility and the acute performance of the everolimus-eluting bioresorbable vascular scaffolds (BVS) for the treatment of patients presenting with ST-segment elevation myocardial infarction (STEMI). Methods and results The present investigation is a prospective, single-arm, single-centre study, reporting data after the BVS implantation in STEMI patients. Quantitative coronary angiography and optical coherence tomography (OCT) data were evaluated. Clinical outcomes are reported at the 30-day follow-up. The intent-to-treat population comprises a total of 49 patients. The procedural success was 97.9%. Pre-procedure TIMI-flow was 0 in 50.0% of the patients; after the BVS implantation, a TIMI-flow III was achieved in 91.7% of patients and the post-procedure percentage diameter stenosis was 14.7+/-8.2%. No patients had angiographically visible residual thrombus at the end of the procedure. Optical coherence tomography analysis performed in 31 patients showed that the post-procedure mean lumen area was 8.02+/-1.92 mm(2), minimum lumen area 5.95+/-1.61 mm(2), mean incomplete scaffold apposition area 0.118+/-0.162 mm(2), mean intraluminal defect area 0.013+/-0.017 mm(2), and mean percentage malapposed struts per patient 2.80+/-3.90%. Scaffolds with >5% malapposed struts were 7. At the 30-day follow-up, target-lesion failure rate was 0%. Non-target-vessel revascularization and target-vessel myocardial infarction (MI) were reported. Anon-target-vessel non-Q-wave MI occurred. No cases of cardiac death or scaffold thrombosis were observed. Conclusion In the present series, the BVS implantation in patients presenting with acute MI appeared feasible, with high rate of final TIMI-flow III and good scaffold apposition. Larger studies are currently needed to confirm these preliminary data.
U2 - 10.1093/eurheartj/eht546
DO - 10.1093/eurheartj/eht546
M3 - Article
C2 - 24394380
SN - 0195-668X
VL - 35
SP - 777-+
JO - European Heart Journal
JF - European Heart Journal
IS - 12
ER -