Coronary Artery Rupture After Bioresorbable Vascular Scaffold Implantation Resolved with Graft Stent: Optical Coherence Tomography Assessment

Abstract

Coronary artery perforation (CAP) is an infrequent and life-threatening complication of percutaneous coronary intervention (PCI). We report a 52-year-old male admited with NSTEMI. During percutaneous coronary intervention on left anterior descending artery with bioresorbable vascular scaffolds the patient suffered a type III coronary artery perforation and pericardiocentesis and graft stent implantation was needed. To the best of our knowleadge this is the first case reported of stent graft assessment by optical coherence tomography (OCT) after coronary artery perforation with a bioabsorbable vascular scaffold (BVS). In the acute phase by OCT, the backscattering does not allow see though the graft stent, nevertheless in the follow up it does. We describe a early positive remodeling on the BVS segment.