Bioresorbable Vascular Scaffolds: The Future in Our Hands?
The first case report of Bioresorbable Vascular Scaffolds (BVS) implanted in human coronary arteries was in 2006. A decade on and over 120,000 patients worldwide have received Absorb, the most widely studied of the resorbable devices. The main theoretical advantage of a BVS over a conventional metallic drug eluting stent (DES) is that the artery will be free of long term implant with restoration of vasomotion. An extensive research programme has been undertaken with several studies across different patient demographics comparing Absorb with Xience (the most widely studied DES) showing non-inferiority at one year with long follow up awaited.
Many of the patients within the clinical trials to date have had relatively simple lesions treated but there are trials actively recruiting that are testing the device in more complex lesions subsets.
The are many technical aspects of BVS implantation that require additional training above standard PCI techniques that an operator should acquire before considering use of the device. Lesions require more extensive preparation than perhaps is necessary for routine DES use and intra-coronary imaging is really important particularly in the early learning curve.
This webinar is supported by:
Key Learning Objectives
- Why use BVS
- How to implant the device
- How to ensure optimal results
- How to avoid complications
- Evidence review of the literature
- Cardiology Interventional Consultants
- Interventional Fellows
- Allied Health Professionals
- Industry partners
Dr Peter O’Kane has been a consultant interventional cardiologist at Royal Bournemouth Hospital for more than 8 years. This is currently the UK’s highest volume non-surgical PCI centre and he annually performs more than 450 PCI cases. The case mix is complex particularly amongst the many elderly patients who have multi-vessel coronary disease which includes extensively calcified lesions, bifurcations including left main stem and chronic total occlusions.
He is committed to teaching and is a National Proctor for Rotational Atherectomy and Optical Frequency Domain Imaging (OFDI), European proctor for laser atherectomy and International proctor for the Axxess dedicated bifurcation stent and Absorb. He has trained consultant colleagues from the UK, Europe and Asia in the multiple adjunctive devices in PCI, intracoronary imaging and the implantation techniques and rationale for use of Absorb.
He has published more than 35 manuscripts in the last decade and has authored 10 book chapters.