Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Cardiol. Sep 26, 2024; 16(9): 508-511
Published online Sep 26, 2024. doi: 10.4330/wjc.v16.i9.508
Recognizing and preventing complications regarding bioresorbable scaffolds during coronary interventions
George Latsios, Leonidas Koliastasis, Konstantinos Toutouzas, Kostas Tsioufis
George Latsios, Leonidas Koliastasis, Konstantinos Toutouzas, Kostas Tsioufis, Department of Cardiology, Hippokration General Hospital, Athens Medical School, National and Kapodistrian University of Athens, Athens 11527, Greece
Author contributions: Latsios G was responsible for conception, writing, design, drafting, revision, and final approval; Koliastasis L was responsible for writing, drafting, revision, and final approval; Toutouzas K and Tsioufis K were responsible for writing, overall supervision, and final approval; all of the authors read and approved the final version of the manuscript to be published.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: George Latsios, MD, PhD, Academic Fellow, Attending Doctor, Lecturer, Department of Cardiology, Hippokration General Hospital, Athens Medical School, National and Kapodistrian University of Athens, Alexandroupoleos 9, Athens 11527, Greece. glatsios@gmail.com
Received: August 2, 2024
Revised: August 30, 2024
Accepted: September 6, 2024
Published online: September 26, 2024
Processing time: 47 Days and 21.6 Hours
Abstract

The evolution of coronary intervention techniques and equipment has led to more sophisticated procedures for the treatment of highly complex lesions. However, as a result, the risk of complications has increased, which are mostly iatrogenic and often include equipment failure. Stent dislodgement warrants vigilance for the early diagnosis and a stepwise management approach is required to either expand or retrieve the lost stent. In the era of bioresorbable scaffolds that are not radiopaque, increased caution is required. Intravascular imaging may assist in detecting the lost scaffold in cases of no visibility fluoroscopically. Adequate lesion preparation is the key to minimizing the possibility of equipment loss; however, in the case that it occurs, commercially available and improvised devices and techniques may be applied.

Keywords: Bioresorbable scaffolds; Stent dislodgement; Complication prevention; Coronary complications; Equipment failure

Core Tip: Adequate lesion preparation is key to minimizing the possibility of equipment loss with bioresorbable scaffolds; however, in the case that it occurs, commercially available and improvised devices and techniques may be applied.