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Assessing bioresorbable coronary devices: methods and parameters.

Hector M Garcia-Garcia1, Patrick W Serruys1, Carlos M Campos2

  • 1Thoraxcenter, Erasmus, Rotterdam, the Netherlands.

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|December 3, 2014
PubMed
Summary

Bioresorbable vascular scaffolds (BRS) offer transient vessel support and drug delivery, avoiding long-term metallic stent issues. New assessment methods are needed to evaluate BRS safety and efficacy due to their unique design and degradation properties.

Keywords:
bioresorbable scaffoldscoronaryimagingintravascular ultrasoundmultislice computed tomographyoptical coherence tomography

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Area of Science:

  • Biomaterials Science
  • Cardiovascular Engineering
  • Medical Imaging

Background:

  • Metallic drug-eluting stents (DES) have limitations, including long-term safety concerns.
  • Bioresorbable vascular scaffolds (BRS) offer transient support and drug delivery, aiming to overcome DES drawbacks.
  • BRS are designed to degrade completely, eliminating permanent vessel caging.

Purpose of the Study:

  • To review existing assessment methods for bioresorbable vascular scaffolds (BRS).
  • To highlight the need for novel imaging and methodologies for BRS evaluation.
  • To cover the spectrum of assessment techniques from noninvasive to invasive.

Main Methods:

  • Overview of noninvasive and invasive imaging modalities.
  • Discussion of light-based and sound-based assessment techniques.
  • Categorization of parameters into morphological and functional assessments.

Main Results:

  • Existing methods encompass a wide range of approaches for BRS assessment.
  • Evaluation requires consideration of BRS design, degradation rate, mechanical properties, and drug delivery.
  • A comprehensive understanding of these parameters is crucial for safety and efficacy.

Conclusions:

  • BRS technology presents a promising alternative to metallic DES.
  • New and adapted assessment methodologies are essential for BRS clinical translation.
  • Thorough evaluation ensures the safety and efficacy of bioresorbable vascular scaffolds.