[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-442507-105":59,"doc-detail-442507-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","optical-coherence-tomography-guided-additional-noevas-bioresorbable-vascular-scaffold-in-the-treatment-of-iatrogenic-coronary-artery-dissection-a-case-report","Optical coherence tomography guided additional Noevas bioresorbable vascular scaffold in the treatment of iatrogenic coronary artery dissection - a case report","","Iatrogenic coronary artery dissection can occur during percutaneous placement of bioresorbable vascular scaffolds. This case report describes significant dissection arising during post-expansion of the left circumflex branch scaffold to achieve wall attachment. Additional resorbable stents successfully covered the dissection without restricting blood flow, supported by optical coherence tomography. Clinical follow-up showed symptom resolution over 2 years and no deterioration on subsequent imaging, with proximal intimal hyperplasia reported at 95%.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/optical-coherence-tomography-guided-additional-noevas-bioresorbable-vascular-scaffold-in-the-treatment-of-iatrogenic-coronary-artery-dissection-a-case-report/442507/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/optical-coherence-tomography-guided-additional-noevas-bioresorbable-vascular-scaffold-in-the-treatment-of-iatrogenic-coronary-artery-dissection-a-case-report/442507.png","ImageObject",300,407,{"name":92,"@type":93},"Muffet","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What complication is described during bioresorbable vascular scaffold placement?","Question",{"text":112,"@type":113},"Iatrogenic coronary artery dissection is described as a potential complication during percutaneous bioresorbable vascular scaffold placement.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the dissection managed after it occurred?",{"text":117,"@type":113},"Additional resorbable stents were implanted to cover the dissection, and optical coherence tomography was used for reassessment showing good apposition.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the reported follow-up outcomes?",{"text":121,"@type":113},"After 6 months, imaging showed no deterioration of the circumflex branch dissection, and after 2 years the patient had no chest pain symptoms.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},442507,1790740313,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090768927,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Zhou et al. BMC Cardiovascular Disorders (2026) 26:7 BMC Cardiovascular Disorders  \n[https://doi.org/10.1186/s12872-025-05243-0](https://doi.org/10.1186/s12872-025-05243-0)  \nCASE REPORT Open Access  \nOptical coherence tomography guided additional Noevas bioresorbable vascular scaffold in the treatment of iatrogenic coronary artery dissection: a case report  \nDengshuang Zhou 1, Bobin Huang 1, Jue Chen 1, Qiong You 1, Hailiang Mo 1, Zijun Wu 1, Yubiao Lin 1, Lujun Chen 1, Junyu Fan 1, Wenyu Deng 1 and Keng Wu 1*  \nAbstract  \nBackground Iatrogenic coronary artery dissection is a potential complication during percutaneous coronary bioresorbable vascular scaffolds placement. We report that significant dissection occurred during post-expansion of the left circumflex branch bioresorbable vascular scaffolds to attach it to the wall. Additional resorbable stents successfully covered the dissection without blood flow restriction.  \nCasereport The patient was a 49-year-old male with refusing intracoronary metal stents and was diagnosed with stable angina pectoris and type 2 diabetes. Coronary angiography showed serious lesions in three vessels. A Noevasstent was had placed in the proximal segment of the anterior descending branch. Unfortunately a type-D dissection occurred during post-dilatation after the second scaffold was placed in the proximal ofthe circumflex branch. A third scaffold was inserted to cover the dissection and optical coherence tomography reexamination showed good apposition. After 6 months of coronary angiography, optical coherence tomography examination showed no deterioration of the circumflex branch dissection, and the proximal intimal hyperplasia in the proximal scaffold was 95% . Scoring balloon and drug balloon dilatation were successfully performed, and right coronary artery dilatation with drug coated balloon was performed. The patient had no symptoms of chest pain after 2 years of follow-up. Conclusion Additional bioresorbable vascular scaffold coverage of coronary type-D dissection with the help of imaging tools may be a practical strategy when patients selcet for coronary metal-less implantation. Furthermore, imaging review is recommended especially for diabetics.  \nKeywords Percutaneous coronary intervention, Dissection, Bioresorbable vascular scaffold, Optical coherence tomography  \n*Correspondence: Keng Wu [251858586@qq.com](251858586@qq.com)  \n1Cardiovascular Medicine Department, Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong 524000, China  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit [http://creati](http://creati)[vecommons.org/l](vecommons.org/l)icenses/by-nc-nd/4.0/.  \nZhou et al. BMC Cardiovascular Disorders (2026) 26:7  \nIntroduction  \nImplanting bioresorbable vascular scaffold(bioresorbable vascular scaffolds, BVS)is one of the major treatment interventions for coronary. Secondary coronary dissection implies that intima injury during percutaneous coronary intervention accompanied by local thrombosis. The imminent danger of the extensive p","cbCairJxFFrt39ik","https://ap.wps.com/l/cbCairJxFFrt39ik","pdf",1407808,"English","# Abstract\n## Background\n## Case report\n## Conclusion\n# Introduction\n# Case presentation\n# Results and follow-up","[{\"question\":\"What complication is described during bioresorbable vascular scaffold placement?\",\"answer\":\"Iatrogenic coronary artery dissection is described as a potential complication during percutaneous bioresorbable vascular scaffold placement.\"},{\"question\":\"How was the dissection managed after it occurred?\",\"answer\":\"Additional resorbable stents were implanted to cover the dissection, and optical coherence tomography was used for reassessment showing good apposition.\"},{\"question\":\"What were the reported follow-up outcomes?\",\"answer\":\"After 6 months, imaging showed no deterioration of the circumflex branch dissection, and after 2 years the patient had no chest pain symptoms.\"}]","Optical coherence tomography guided additional Noevas bioresorbable vascular scaffold in the treatment of iatrogenic coronary artery dissection - a case report | PDF",1790700568,15]