BVS in Anomalous, Tortuous Vessels Treated by Radial Approach (Case #2, Video #4)

Case #2: Tortuous left anterior descending artery percutaneous intervention with BVS

A 60-year-old non-diabetic male patient with a DES in the dominant left circumflex (LCX) placed four years prior presented with non-ST-segment elevation myocardial infarction. His coronary angiogram via a right radial approach showed a patent stent in the LCX and a very tortuous (S-shaped) left anterior descending artery (LAD) with a critical lesion in the mid segment (Figure 2A, Video 4). After pre-dilation, we planned for an Absorb BVS and placed a buddy wire in the LAD to facilitate tracking of the BVS (Figure 2B, 2C). With the support, the Absorb scaffold tracked well into the tortuous mid LAD. It also had a good conformability within the tortuous segment after deployment and post dilation (Figure 2D, Videos 5-6). 

This video accompanies the article, "Bioresorbable Vascular Scaffolds in Anomalous and Tortuous Vessels Treated by Radial Approach."