Bioresorbable Vascular Scaffolds for Heavily Calcified Lesions: How to Tackle the Rugged Passage?

We present a case of a heavily calcified left anterior descending artery lesion successfully treated with bioresorbable vascular scaffold (BVS). Despite a 360 degrees heavy calcification at the site of the culprit lesion and prior implantation of a proximal metal stent, meticulous lesion preparation with scoring balloon and use of a deep-seated child catheter facilitated the successful deployment of two BVSs. This case report demonstrates how optimal lesion preparation, adequate dedicated device support, and careful assessment with the use of intracoronary imaging device can facilitate implantation of BVS in complex lesions.