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Position statement on bioresorbable vascular scaffolds in Portugal

2013Journal article Open access
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dc.contributor.authorCampante Teles, R
dc.contributor.authorPereira, H
dc.contributor.authorCyrne de Carvalho, H
dc.contributor.authorPatrício, L
dc.contributor.authorSantos, R
dc.contributor.authorBaptista, J
dc.contributor.authorPipa, J
dc.contributor.authorFarto e Abreu, P
dc.contributor.authorFaria, H
dc.contributor.authorRamos, S
dc.contributor.authorGama Ribeiro, V
dc.contributor.authorMartins, D
dc.contributor.authorAlmeida, M
dc.date.accessioned2014-02-28T23:17:58Z
dc.date.available2014-02-28T23:17:58Z
dc.date.issued2013
dc.description.abstractBACKGROUND: 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.por
dc.identifier.citationRev Port Cardiol. 2013;32(12):1013-8.por
dc.identifier.urihttp://hdl.handle.net/10400.26/5867
dc.language.isoengpor
dc.peerreviewedyespor
dc.publisherSociedade Portuguesa de Cardiologiapor
dc.subjectAbsorbable Implantspor
dc.subjectTissue Scaffoldspor
dc.subjectCoronary Artery Diseasepor
dc.subjectPortugalpor
dc.subjectDoença das Artérias Coronáriaspor
dc.subjectSuportes Vasculares Restaurativos Transitóriospor
dc.subjectPortugalpor
dc.titlePosition statement on bioresorbable vascular scaffolds in Portugalpor
dc.title.alternativePosição sobre suportes vasculares restaurativos transitórios coronários em Portugalpor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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