Coronary scaffold loss

Embolised device complications

Scaffold – a newer term implying temporary arterial support – was introduced in the interventional cardiology field to clearly distinguish these devices from permanent stents. Scaffolds have certain advantages over current metallic drug-eluting stent technology, but certain complications may also occur.

Scaffold-loss is one of these. In this section learn about the clinical details of this situation, about how image enhancement technology can assist with the identification of radiopaque scaffold markers and discover the step-by-step approach on managing these types of coronary complications!

PCR Complications Team: Patrick Calvert, Eric Eeckhout, Michael Haude and Olivier Muller

The following scenarios could be encountered:

1. Lost on the wire
2. Lost off the wire

SCAFFOLD LOST ON WIRE	What to do when scaffold lost occurs in the coronary artery with the guidewire in situ? Various techniques are described for instance, the use of imaging enhancement technologies and advanced balloon catheter techniques.	LOST ON WIRE
SCAFFOLD LOST OFF WIRE	What to do when scaffold lost occurs in the coronary artery off the guidewire?	LOST OFF WIRE

Each type of complication is presented in three parts, namely:

• Part 1 - Introduction
• Part 2 - Management algorithm/decision tree and additional links
• Part 3 - Case library

In addition to this complication management resource, further cases on complications are available on the website in the Topics section.