Bioresorbable Vascular Scaffolds

Michael Nguyen, Julia Isbister, Imran Sheikh, Tan Huay Cheem, Azeem Latib, Nigel Jepson

Research output: Chapter in Book/Report/Conference proceedingChapter


This chapter presents important guiding strategies for optimal Bioresorbable Vascular Scaffold (BVS) implantation. Intracoronary nitroglycerin injection is highly recommended in order to avoid BVS undersizing due to chronic distal arterial spasm. The routine use of a high-pressure non-compliant post-dilatation balloon is strongly recommended. Use of a post-dilatation balloon that is slightly larger than the selected BVS can result in adequate scaffold expansion. The use of BVS in bifurcation lesions has the advantage of avoiding long-term jailing of the side branch. In a one-scaffold strategy (provisional scaffolding), only the main vessel is treated with BVS implantation. The main strategies are meticulous lesion preparation and pre-dilatation with non-compliant balloons with a nominal size equal to the intended BVS and inflated at high pressure. The T-stenting technique provides a good solution in a case of bifurcation with an angle close to 90 degrees.

Original languageEnglish (US)
Title of host publicationPractical Handbook of Advanced Interventional Cardiology
Subtitle of host publicationTips and Tricks
Number of pages19
ISBN (Electronic)9781119383031
ISBN (Print)9781119382683
StatePublished - Jan 1 2021
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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