Very late bioresorbable scaffold thrombosis and reoccurrence of dissection two years later chronic total occlusion recanalization of the left anterior descending artery

Figure 1 Baseline chronic total occlusion-percutaneous revascularization of the left anterior descending. A and B: Mid-LAD occlusion with omolateral reperfusion of the distal segment; C: Dissected segment after CTO recanalization and balloon dilation (white arrows); D: Final result after four BVS implantation and (2) contrast staining at the distal LAD suggesting the presence of subintimal hematoma with the occlusion of the distal apical branch (1). BVS: Bioresorbable vascular scaffolds; LAD: Left anterior descending; CTO: Chronic total occlusion.