In this case report, we illustrate the early coverage at 14 days of an everolimus eluting Bioabsorbable Vascular Scaffold (Absorb BVS, Abbott Vascular, Santa Clara) implanted after ST Elevation Myocardial Infarction (STEMI). The patient was admitted in another centre due to an anterior STEMI. Patient underwent primary Percutaneous Coronary Intervention and a 3.0 × 28 mm Bioabsorbable Scaffold was implanted in the proximal Left Anterior Descending artery (LAD) across the origin of the septal and diagonal branch. Angiogram showed a subocclusive stenosis of the 3rd segment of the RCA. The patient was readmitted 14 days later for RCA treatment in our centre. Angiography showed good result of previous PCI on the LAD and Frequency Domain Optical Coherence Tomography (FD-OCT) was performed on the previously implanted scaffold using a C7 System (St Jude Medical, St Paul, USA).
OCT ( Fig. 1 ) and 3D reconstructions ( Fig. 2 and Videos 1 and 2 ) reveal the pattern of early coverage at 14 days of BVS struts, particularly on the strut well apposed to the vessel wall, as compared with the strut left unopposed at the side branch take off which remained uncovered.
