Seth S. Martin, MD, MHS; Rani K. Hasan, MD, MHS
This article was published at www.annals.org on 5 April 2016.
Acknowledgment: The authors thank Jack L. Martin, MD, for input on a draft of the editorial.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-0754.
Requests for Single Reprints: Seth S. Martin, MD, MHS, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287; e-mail firstname.lastname@example.org.
Current Author Addresses: Drs. Martin and Hasan: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287.
Martin SS, Hasan RK. Bioresorbable Vascular Scaffolds in Coronary Artery Disease: Weighing the Evidence and Next Steps. Ann Intern Med. 2016;164:775-776. doi: 10.7326/M16-0754
Download citation file:
Published: Ann Intern Med. 2016;164(11):775-776.
Published at www.annals.org on 3 May 2016
A bioresorbable vascular scaffold (BVS) that provides the support necessary for healing after angioplasty and then dissolves over time is an attractive concept. It could solve the limitations of metallic stents, namely late stent thrombosis, restricted vasomotor function, and chronic local arterial inflammation. Additional potential advantages include decreased duration of dual-antiplatelet therapy, increased lumen size, greater ease in imaging (that is, computed tomography or magnetic resonance imaging) the treated vessel after revascularization, and more options to manage future target vessel revascularization (that is, repeated stenting and coronary artery bypass grafting).
In light of these characteristics, this new approach to coronary revascularization has garnered considerable interest and investigation. Furthest along is the Abbott Vascular Absorb BVS system, which elutes everolimus and fully resorbs over a period of about 2 to 3 years (1). It is in clinical use in some countries and is likely to start being used soon in the United States (more below).
Learn more about subscription options.
Register Now for a free account.
Cardiology, Coronary Heart Disease, Percutaneous Coronary Intervention.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only