Abstract
We present a complex bifurcation lesion treated with a new two-stent strategy combining a dedicated sirolimus eluting bifurcation stent, BiOSS Lim, with a bioresorbable vascular scaffold (BVS). The advantages of this strategy compared with the conventional two-stent approach are as follows: the dedicated stent protects the carina from being damaged, the large cell at the middle zone of the BiOSS Lim gives possibility to enter easily into the side branch (SB) with any standard size conventional device, and, finally, the additional use of BVS in the SB could have a long-term benefit in terms of restenosis.
Highlights
Coronary bifurcations lesions are considered technically challenging and associated with worse clinical outcomes than nonbifurcation lesions [1]
We present a case of a bifurcation lesion treated with one dedicated sirolimus eluting bifurcation stent, BiOSS Lim (Balton, Warsaw, Poland) in combination with the Absorb (Abbott Vascular, Santa Clara, CA, USA) bioresorbable vascular scaffold (BVS)
We demonstrate the feasibility of this two-stent technique for the treatment of complex bifurcation lesions
Summary
Coronary bifurcations lesions are considered technically challenging and associated with worse clinical outcomes than nonbifurcation lesions [1]. It is still important to improve two-stent treatment strategies for complex bifurcation lesions in which the side branch (SB) is involved. The use of dedicated bifurcation stents might facilitate the procedure, even in complex and challenging anatomies. The introduction of drug-eluting stents (DES) resulted in a lower event rate and a reduction of main branch (MB) restenosis. The use of bioresorbable vascular scaffold (BVS) as SB stent might have a potential benefit after percutaneous coronary intervention (PCI) of bifurcation lesions because, after complete BVS resorption, SB struts can no longer cause late restenosis at the SB ostium as metallic stents do. We demonstrate the feasibility of this two-stent technique for the treatment of complex bifurcation lesions
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