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• W1996189708 abstract "In a porcine model, implantation of overlapping everolimus-eluting bioresorbable vascular scaffolds (BVS, Abbott Vascular, Santa Clara, California) resulted in delayed strut coverage and higher neointimal response [ [1] Farooq V. Serruys P.W. Heo J.H. Gogas B.D. Onuma Y. Perkins L.E. Diletti R. Radu M.D. Räber L. Bourantas C.V. Zhang Y. van Remortel E. Pawar R. Rapoza R.J. Powers J.C. van Beusekom H.M. Garcìa-Garcìa H.M. Virmani R. Intracoronary optical coherence tomography and histology of overlapping everolimus-eluting bioresorbable vascular scaffolds in a porcine coronary artery model: the potential implications for clinical practice. JACC Cardiovasc. Interv. 2013; 6: 523-532 Abstract Full Text Full Text PDF PubMed Scopus (88) Google Scholar ] that might lead to important clinical consequences (scaffold thrombosis; in-scaffold restenosis). According to this, any effort to minimize BVS overlap area and the number of overlapping struts is desirable. A bench testing in an in vitro phantom model has shown how to minimize BVS overlap utilizing the platinum markers located at each BVS edge, where the ideal overlap should be achieved when BVS edge markers positioned at 90° to each other, causing the majority of the overlapped struts to be positioned in the cell area between the struts [ [2] Farooq V. Onuma Y. Radu M. Okamura T. Gomez-Lara J. Brugaletta S. Gogas B.D. van Geuns R.J. Regar E. Schultz C. Windecker S. Lefèvre T. Brueren B.R. Powers J. Perkins L.L. Rapoza R.J. Virmani R. García-García H.M. Serruys P.W. Optical coherence tomography (OCT) of overlapping bioresorbable scaffolds: from benchwork to clinical application. EuroIntervention. 2011; 7: 386-399 Crossref PubMed Scopus (39) Google Scholar ]. In the same paper [ [2] Farooq V. Onuma Y. Radu M. Okamura T. Gomez-Lara J. Brugaletta S. Gogas B.D. van Geuns R.J. Regar E. Schultz C. Windecker S. Lefèvre T. Brueren B.R. Powers J. Perkins L.L. Rapoza R.J. Virmani R. García-García H.M. Serruys P.W. Optical coherence tomography (OCT) of overlapping bioresorbable scaffolds: from benchwork to clinical application. EuroIntervention. 2011; 7: 386-399 Crossref PubMed Scopus (39) Google Scholar ], authors stated that trying to intentionally achieve a minimum overlap is highly difficult and that the correct positioning of the BVS markers is practically unachievable during conventional PCI. In fact, the achievement of minimum BVS overlap in daily clinical practice may be difficult mainly because BVS edge markers are poorly visible at normal fluoroscopy. Therefore, the risk of “geographical miss” or long overlap remains high. Enhanced stent visualization (ESV) system guidance has been well validated during conventional stent implantation [ [3] Oh D.J. Choi C.U. Kim S. Im S.I. Na J.O. Lim H.E. Kim J.W. Kim E.J. Han S.W. Rha S.W. Park C.G. Seo H.S. Effect of StentBoost imaging guided percutaneous coronary intervention on mid-term angiographic and clinical outcomes. Int. J. Cardiol. 2013; 168: 1479-1484 Abstract Full Text Full Text PDF PubMed Scopus (14) Google Scholar ]. ESV systems might significantly improve BVS edge marker identification. In this brief report, we describe two cases highlighting how the ESV system (ClearStent, Siemens Healthcare, Forchheim, Germany, Fig. 1) may guide and optimize multiple BVS implantation." @default.
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• W1996189708 title "Optical coherence tomography evaluation of overlapping everolimus-eluting bioresorbable vascular scaffold implantation guided by enhanced stent visualization system" @default.
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