Bioabsorbable Vascular Scaffolds Eluting with Everolimus: for Percutaneous Coronary Intervention of Patients with de-novo Coronary Artery Lesion: Our Experiences at a Tertiary Hospital

AHMW Islam, S Munwar, S Talukder, AQM Reza, T Ahmed, AH Bhuiyan, R Masud, SR Sohel, MS Alam, A Miah, S Chakrabarty, A Karim, AB Siddique

Background: Aim of the study was to evaluate the primary procedural success of percutaneous coronary
intervention (PCI) of de-novo coronary artery lesion by using Bioabsorbable Vascular Scaffold (BVS)
ABSORB stents eluting Everolimus.
Methods: Total 16 patients were enrolled in this very preliminary study of BVS absorb. Among them,
Male: 11 and Female: 5. Total 20 stents were deployed. Mean age were for Male: 56 yrs, for Female: 60 yrs.
Associated coronary artery disease (CAD) risk factors were Dyslipidemia, High Blood pressure, Diabetes
Mellitus, Positive family history (FH) for CAD and Smoking. Patients were followed up clinically.
Results: Among the study group; 13 (81%) were Dyslipidemic, 10(62.5%) were hypertensive; 6 (37.5%)
patients were Diabetic, FH 3(18.75%), and 2(18%) were all male smoker. Female patients were more obese
[Body Mass Index (BMI) M 25: F 27] and developed CAD in advance age. A common stented territory was
for left anterior descending artery (LAD): 6 (37.5%), left circumflex artery (LCX) 5 (25%), right coronary
artery (RCA) 6(37.5%). One patient had both LCX and LAD stenting. Total 3 patients had double/overlapping
stent in RCA lesion. Territory wise distributions of BVS ABSORB stent were for LAD 6(30%), RCA 9
(45%), and LCX 5 (25%). There was no periprocedural or postprocedural complication.
Conclusion: BVS ABSORB Everolimus eluting vascular scaffold showed favorable clinical outcome without
any major cardiac events (acute or late stent thrombosis, MI or death) over a period of 9 month. Thus,
BVS ABSORB would be favorable alternative to other available drug eluting metallic stents.