PMID- 26728234 OWN - NLM STAT- MEDLINE DCOM- 20160929 LR - 20181202 IS - 1540-8183 (Electronic) IS - 0896-4327 (Linking) VI - 29 IP - 1 DP - 2016 Feb TI - Clinical Outcomes of Bioresorbable Scaffold in Coronary Artery Disease: A Systematic Literature Review. PG - 57-69 LID - 10.1111/joic.12260 [doi] AB - OBJECTIVES: We aim to perform a systematic literature review on all studies reporting the clinical outcomes of the use of bioresorbable scaffolds (BRS) in different settings of coronary artery disease (CAD). BACKGROUND: BRS are designed to provide early support of the vessel wall postangioplasty, deliver antiproliferative agents to prevent excessive hyperplastic healing responses and finally "disappear" when no longer required. Emerging data have provided evidence of their use in specific clinical scenarios. METHODS: A comprehensive literature search was performed by 2 independent reviewers utilizing MEDLINE, EMBASE, and Cochrane Library databases. The only 2 CE marked BRS: everolimus-eluting Bioresorbable vascular scaffold ABSORB BVS and the myolimus-eluting DESolve Bioresorbable Coronary Scaffold (BCS) System were included. RESULTS: The studies were categorized into: ST elevation myocardial infarction (STEMI), stable CAD, and "all-comers" group. Thirty-one studies were included; 8 in STEMI patients (all ABSORB), 15 in stable CAD patients. In the STEMI group (n = 606), acute procedural success ranged from 96% to 100%, cardiac mortality 0-9.1%, recurrent MI and stent thrombosis rates were 0-4.3%. In the stable CAD group, the 13 ABSORB studies (n = 3259) demonstrated cardiac mortality rate of 0-0.6%, recurrent MI rate 0-4.5%, and stent thrombosis rate 0-4.3% CONCLUSIONS: Current clinical data suggest the BRS, especially the ABSORB BVS, may represent a reasonable alternative to DES in uncomplicated coronary anatomy. CI - (c) 2015, Wiley Periodicals, Inc. FAU - Keh, Yann Shan AU - Keh YS AD - Department of Cardiology, National Heart Centre Singapore, Singapore. FAU - Yap, Jonathan AU - Yap J AD - Department of Cardiology, National Heart Centre Singapore, Singapore. FAU - Yeo, Khung Keong AU - Yeo KK AD - Department of Cardiology, National Heart Centre Singapore, Singapore. AD - Duke-NUS Graduate Medical School, Singapore. FAU - Koh, Tian Hai AU - Koh TH AD - Department of Cardiology, National Heart Centre Singapore, Singapore. FAU - Eeckhout, Eric AU - Eeckhout E AD - Division of Cardiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review DEP - 20160105 PL - United States TA - J Interv Cardiol JT - Journal of interventional cardiology JID - 8907826 RN - 0 (Antineoplastic Agents) RN - 9HW64Q8G6G (Everolimus) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Absorbable Implants MH - Aged MH - *Angioplasty/instrumentation/methods MH - Antineoplastic Agents/pharmacology MH - Coronary Artery Disease/*surgery MH - Everolimus/*pharmacology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Sirolimus/*pharmacology MH - *Tissue Scaffolds MH - Treatment Outcome EDAT- 2016/01/06 06:00 MHDA- 2016/09/30 06:00 CRDT- 2016/01/06 06:00 PHST- 2016/01/06 06:00 [entrez] PHST- 2016/01/06 06:00 [pubmed] PHST- 2016/09/30 06:00 [medline] AID - 10.1111/joic.12260 [doi] PST - ppublish SO - J Interv Cardiol. 2016 Feb;29(1):57-69. doi: 10.1111/joic.12260. Epub 2016 Jan 5.