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Bioresorbable Vascular Scaffold Implantation for Successful Treatment of a Symptomatic Coronary Lesion in a 17-Year-Old Boy After Kawasaki Disease

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Abstract

Coronary stenting is considered a promising treatment option for patients with coronary artery lesions caused by Kawasaki disease (KD). Here, we report the case of an adolescent with KD who successfully underwent implantation of a fully bioresorbable vascular scaffold (BVS) in a Kawasaki-related, highly obstructed coronary artery. Control coronary angiography 6 months later showed a remaining good result without restenosis or development of aneurysm. Cardial MRI and clinical follow-up revealed stable results at 6 and 18 months without any signs of ischemia. To our knowledge, this is the first report of a successful implantation of a fully bioresorbable vascular scaffold in a young adult with the history of KD. The case illustrates the feasibility and safety of BVS implantation for the treatment of KD. It remains to be confirmed by further studies, if this approach by this novel material might be a therapeutic alternative to coronary bypass grafting or other coronary interventions.

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References

  1. Akagi T, Ogawa S, Ino T (2000) Catheter interventional treatment in Kawasaki disease: a report from the Japanese pediatric interventional cardiology investigation group. J Pediatr 137(2):181–186

    Article  CAS  PubMed  Google Scholar 

  2. Gordon J, Kahn A, Burns J (2009) When children with Kawasaki disease grow up—myocardial and vascular complications in adulthood. J Am Coll Cardiol 54(21):1911–1920

    Article  PubMed Central  PubMed  Google Scholar 

  3. Ishii M, Ueno T, Ikeda H, Iemura M, Suqimura T, Furui J, Sugahara Y, Muta H, Akaqi T, Nomura Y, Homma T, Yokoi H, Nobuyoshi M, Matsuishi T, Kato H (2002) Sequential follow-up results of catheter intervention for coronary artery lesions after Kawasaki disease: quantitative coronary artery angiography and intravascular ultrasound imaging study. Circulation 105(25):3004–3010

    Article  PubMed  Google Scholar 

  4. Kang SH, Park KW, Kang DY, Lim WH, Park KT, Han JK, Kang HJ, Koo BK, Oh BH, Park YB, Kandzari DE, Cohen DJ, Hwang SS, Kim HS (2014) Biodegradable-polymer drug-eluting stents vs. bare metal stents vs. durable-polymer drug-eluting stents: a systematic review and Bayesian approach network meta-analysis. Eur Heart J 35(17):1147–1158

    Article  CAS  PubMed  Google Scholar 

  5. Li SS, Cheng BC, Lee SH (2005) Giant coronary aneurysm formation after Sirolimus-eluting stent implantation in Kawasaki disease. Circulation 112(8):e105–e107

    Article  PubMed  Google Scholar 

  6. Serruys PW, Chevalier B, Dudek D, Cequier A, Carrié D, Iniguez A, Dominici M, van der Schaaf RJ, Haude M, Wasungu L, Veldhof S, Peng L, Staehr P, Grundeken MJ, Ishibashi Y, Garcia-Garcia HM, Onuma Y (2014) A bioresorbable everolimus-eluting scaffold versus a metallic everolimus-eluting stent for ischaemic heart disease caused by de-novo native coronary artery lesions (ABSORB II): an interim 1-year analysis of clinical and procedural secondary outcomes from a randomised controlled trial. Lancet 385(9962):43–54

    Article  PubMed  Google Scholar 

  7. Suda K, Iemura M, Nishiono H, Teramachi Y, Kodeda Y, Kishimoto S, Kudo Y, Itoh S, Ishii H, Ueno T, Tashiro T, Nobuyoshi M, Kato H, Matsuishi T (2011) Long-term prognosis of patients with Kawasaki disease complicated by giant coronary aneurysms. Circulation 123(17):1836–1842

    Article  PubMed  Google Scholar 

  8. Suzuki A, Miyagawa-Tomita S, Komatsu K, Nishikawa T, Sakomura Y, Horie T, Nakazawa M (2000) Active remodeling of the coronary arterial lesions in the late phase of Kawasaki disease: immunohistochemical study. Circulation 101(25):2935–2941

    Article  CAS  PubMed  Google Scholar 

  9. Wiebe J, Nef HM, Hamm CW (2014) Current status of bioresorbable scaffolds in the treatment of coronary artery disease. J Am Coll Cardiol 64(23):2541–2551

    Article  CAS  PubMed  Google Scholar 

  10. Yim D, Curtis N, Cheung M, Burgner D (2013) Update on Kawasaki disease: epidemiology, aetiology and pathogenesis. J Paediatr Child Health 49(9):704–708

    Article  PubMed  Google Scholar 

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Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

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Authors and Affiliations

  1. Division of Cardiology, Department of Medicine III, J. W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany

    Brigitte Luu & Stephan Fichtlscherer

  2. Pediatric Heart Center, Justus-Liebig University, Giessen, Germany

    Anoosh Esmaeili & Dietmar Schranz

  3. Hessisches Kinderherzzentrum, Giessen, Germany

    Brigitte Luu, Anoosh Esmaeili, Dietmar Schranz & Stephan Fichtlscherer

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  1. Brigitte Luu
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  2. Anoosh Esmaeili
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  3. Dietmar Schranz
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  4. Stephan Fichtlscherer
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Correspondence to Brigitte Luu.

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Luu, B., Esmaeili, A., Schranz, D. et al. Bioresorbable Vascular Scaffold Implantation for Successful Treatment of a Symptomatic Coronary Lesion in a 17-Year-Old Boy After Kawasaki Disease. Pediatr Cardiol 36, 1539–1541 (2015). https://doi.org/10.1007/s00246-015-1215-4

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  • DOI: https://doi.org/10.1007/s00246-015-1215-4

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