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ISSN (Print): 2359-4802 | ISSN (Online): 2359-5647

Article's Author

1 result(s) for: Márcio José Montenegro da Costa

Percutaneous coronary intervention with bioresorbable vascular scaffolds

Intervenção coronariana percutânea com suportes vasculares biorreabsorvíveis

Márcio Macri Dias; Márcio José Montenegro da Costa; Bernardo Amorim; Esmeralci Ferreira

Int J Cardiovasc Sci.2016;29(4):314-319 : Review Article


Percutaneous coronary intervention (PCI) was the first revolution in interventional cardiology. Coronary stents solved the acute occlusion of the vessel, sealing dissections and preventing negative remodeling. Excessive intimal hyperplasia was reduced with drug-eluting stents (DES) mainly in diabetics, small vessels and long lesions. However, the mechanical effect of stent metal hinders the positive remodeling of the vessel wall, good endothelial function and vascular reactivity. Bioresorbable vascular scaffolds (BVS) provide good initial stability in the vascular structure and complete resorption of the material over time, resulting in better physiological adaptation of the artery. Recent studies show that these devices are safe. Despite some limitations in indication, evidence now offer unique options in the treatment of coronary artery disease (CAD) with the expansion of BVS use in daily practice, which is the reason for this review.