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. 2022 Jul 1;49(4):e186912.
doi: 10.14503/THIJ-18-6912.

Thrombotic Left Main Coronary Artery Occlusion Treated With Bioresorbable Scaffold

Affiliations

Thrombotic Left Main Coronary Artery Occlusion Treated With Bioresorbable Scaffold

Santiago Jesús Camacho Freire et al. Tex Heart Inst J. .
No abstract available

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Figures

Fig. 1
Fig. 1
Coronary angiograms show A) thrombotic occlusion of the unprotected left main coronary artery (LMCA) (arrow) and B) a dominant right coronary artery contributing to Rentrop grade 2 collateral circulation (arrow) at presentation; C) a patent unprotected LMCA and left anterior descending coronary artery (LAD) (arrow) immediately after implantation of a bioresorbable scaffold; and D) continued patency of the unprotected LMCA-LAD at the 40-month follow-up visit. Supplemental motion images are available for Figures 1A, 1B, 1C, and 1D.
Fig. 2
Fig. 2
Optical coherence tomograms (axial views) obtained immediately after implantation of a bioresorbable scaffold in the unprotected left main coronary artery and left anterior descending coronary artery (LAD) show A) correct apposition of its struts, but also a small distal edge dissection in the LAD, leaving B) the ostium of the left circumflex coronary artery (LCx) caged by struts (arrow). At 40 months, C) the scaffold struts are adequately covered by neointima and partially reabsorbed, the small distal edge dissection is healed, and there is no restenosis. D) No struts or neointimal bridges are seen at the level of the ostium of the LCx and other branches. Supplemental motion images are available for Figures 2AB and 2CD.

References

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