eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
Current issue Archive Manuscripts accepted About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank
2/2022
vol. 18
 
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abstract:
Original paper

Dissections after bioresorbable vascular scaffold implantation in the POLAR ACS Registry

Wojciech Zasada
1, 2
,
Artur Dziewierz
2, 3
,
Lukasz Partyka
1, 4
,
Michal Wegiel
2
,
Beata Bobrowska
2
,
Rafal Depukat
5
,
Tomasz Rakowski
2, 3
,
Dariusz Dudek
6
,
Stanislaw Bartus
2, 3
,
Lukasz Rzeszutko
2, 3

1.
KCRI, Krakow, Poland
2.
Clinical Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland
3.
2nd Department of Cardiology, Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
4.
Department of Angiology, University Hospital, Krakow, Poland
5.
Anaesthesiology and Intensive Care Clinical Department, University Hospital, Krakow, Poland
6.
Digital Medicine and Robotics Center, Jagiellonian University Medical College, Krakow, Poland
Adv Interv Cardiol 2022; 18, 2 (68): 131–136
Online publish date: 2022/08/19
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Introduction
Percutaneous coronary intervention (PCI) is a common method of treatment for patients with coronary artery disease. One of the most common complications during the PCI procedure is coronary artery dissection. It usually requires an additional action to assure the patency of the treated vessel. Aim: The aim of the publication is to describe the occurrence of coronary artery dissection after bioresorbable vascular scaffold (BVS) implantation. This selected type of PCI procedure is especially interesting because precise target vessel measurement before BVS implantation is required for optimal determination of scaffold size.

Material and methods
Based on angiographic data gathered in the POLAR ACS Registry, we assessed the frequency of dissections, their localization, and severity. Based on data regarding patients’ demographic, clinical status, and details regarding treatment strategy, the factors that could have an influence on the dissection occurrence were identified.

Results
A group of 100 patients included in the analyses. Group A consisted of 9 patients. This group was defined as patients in whom the significant dissection occurred after the BVS implantation. Group B comprised 91 patients. Both groups were very similar according to demographic data. The frequency of predilatation was similar; post-dilatation was performed more often in group A but without statistical significance. The presence of calcification in the target lesion was an independent factor of dissection during the index PCI procedure.

Conclusions
The occurrence of significant dissection can be effectively treated, and the good angiographic results of this treatment immediately after the initial procedure translate into good clinical results in longer follow-up.

keywords:

QVA, bioresorbable vascular scaffold, percutaneous coronary intervention, dissection

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