Bailout left main bioresorbable vascular scaffolding for the treatment of iatrogenic coronary dissection induced by guiding catheter and sticky ABSORB bioresorbable vascular scaffold balloon

Abstract

Keyword: ABSORB Bioresorbable vascular scaffold Coronary dissection Sticky balloon Left main scaffolding Bailout the deployment of a 2.5 × 28 mm BVS (Fig. 1B–D). As the BVS balloon was withdrawn, the EBU guiding catheter (GC) jumped in. Subsequently the patient developed mild chest pain. There was angiographic haziness at the region of distal LM-ostial LAD (Fig. 1E). The operator elected to treat the suspected coronary dissection with a BVS. A 3.0 × 28 mm BVS was positioned from the mid LM and minimally overlapped with the mid LAD BVS (Fig. 1F). It was further optimized with a 3.5 × 12 mm non-compliant balloon. The chest pain subsided and there was good angiographic result of the BVS scaffolding from the LM to the mid LAD (Fig. 1G). For the second case, there was a 62-year-old man, who was an exsmoker with hypertension, hypercholesterolemia and chronic total oc-