First serial assessment at 6 months and 2 years of the second generation of ABSORB everolimus-eluting bioresorbable vascular scaffold a multi-imaging modality study
Circulation. Cardiovascular Interventions , Volume 5 - Issue 5 p. 620- 632
Background: Nonserial observations have shown this bioresorbable scaffold to have no signs of area reduction at 6 months and recovery of vasomotion at 1 year. Serial observations at 6 months and 2 years have to confrm the absence of late restenosis or unfavorable imaging outcomes. Methods and Results: The ABSORB trial is a multicenter single-Arm trial assessing the safety and performance of an everolimus-eluting bioresorbable vascular scaffold. Forty-five patients underwent serial invasive imaging, such as quantitative coronary angiography, intravascular ultrasound, and optical coherence tomography at 6 and 24 months of follow-up. From 6 to 24 months, late luminal loss increased from 0.16±0.18 to 0.27±0.20 mm on quantitative coronary angiography, with an increase in neointima of 0.68±0.43 mm2 on optical coherence tomography and 0.17±0.26 mm2 on intravascular ultrasound. Struts still recognizable on optical coherence tomography at 2 years showed 99% of neointimal coverage with optical and ultrasonic signs of bioresorption accompanied by increase in mean scaffold area compared with baseline (0.54±1.09 mm2 on intravascular ultrasound, P=0.003 and 0.77±1.33 m2 on optical coherence tomography, P=0.016). Two-year major adverse cardiac event rate was 6.8% without any scaffold thrombosis. Conclusions: This serial analysis of the second generation of the everolimus-eluting bioresorbable vascular scaffold confrmed, at medium term, the safety and efficacy of the new device.
|Coronary artery disease, Coronary intervention and bioresorbable scaffold|
|Circulation. Cardiovascular Interventions|
|Organisation||Department of Cardiology|
Ormiston, J.A, Serruys, P.W.J.C, Onuma, Y, van Geuns, R.J.M, de Bruyne, B, Dudek, D, … Garcia-Garcia, H.M. (2012). First serial assessment at 6 months and 2 years of the second generation of ABSORB everolimus-eluting bioresorbable vascular scaffold a multi-imaging modality study. Circulation. Cardiovascular Interventions, 5(5), 620–632. doi:10.1161/CIRCINTERVENTIONS.112.971549