Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1666
Título: Position Statement on Bioresorbable Vascular Scaffolds in Portugal
Outros títulos: Posição sobre Suportes Vasculares Restaurativos Transitórios Coronários em Portugal
Autor: Campante Teles, R
Pereira, H
Cyrne de Carvalho, H
Patrício, L
Santos, R
Baptista, J
Pipa, J
Farto e Abreu, P
Faria, H
Sousa Ramos, M
Gama Ribeiro, V
Martins, D
Almeida, M
Palavras-chave: HSM CAR
Absorbable Implants
Blood Vessel Prosthesis
Coronary Artery Disease/surgery
Prosthesis Design
Tissue Scaffolds
Data: 2013
Editora: Sociedade Portuguesa de Cardiologia
Citação: Rev Port Cardiol. 2013 Dec;32(12):1013-8
Resumo: BACKGROUND: Bioresorbable vascular scaffolds (BVS) were recently approved for percutaneous coronary intervention in Europe. The aim of this position statement is to review the information and studies on available BVS, to stimulate discussion on their use and to propose guidelines for this treatment option in Portugal. METHODS AND RESULTS: A working group was set up to reach a consensus based on current evidence, discussion of clinical case models and individual experience. The evidence suggests that currently available BVS can produce physiological and clinical improvements in selected patients. There are encouraging data on their durability and long-term safety. Initial indications were grouped into three categories: (a) consensual and appropriate - young patients, diabetic patients, left anterior descending artery, long lesions, diffuse disease, and hybrid strategy; (b) less consensual but possible - small collateral branches, stabilized acute coronary syndromes; and (c) inappropriate - left main disease, tortuosity, severe calcification. CONCLUSION: BVS are a viable treatment option based on the encouraging evidence of their applicability and physiological and clinical results. They should be used in appropriate indications and will require technical adaptations. Outcome monitoring and evaluation is essential to avoid inappropriate use. It is recommended that medical societies produce clinical guidelines based on high-quality registries as soon as possible.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1666
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