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Bioresorbable Scaffolds: Ready for a Rematch?

  • 01-12-2026
  • Thrombosis
  • Interventional Cardiology (SR Bailey and T Helmy, Section Editors)
Published in:

Abstract

Purpose of Review

The bioresorbable vascular scaffold (BVS) is a promising technology with clear theoretical benefits. Large randomized controlled trials (RCTs) of the early generation of this technology, however, demonstrated issues translating these benefits from the abstract into the clinical realm. This review covers the outcomes beginning with the first-generation scaffolds and provides updates on advances made with newer technologies and evolved approaches to platform delivery.

Recent Findings

Pooled individual patient data from the ABSORB studies with 5-year follow-up was published in early 2025, showing higher event rates in the BVS group driven by events in the first three years of follow-up. Events after three years were the same or lower compared to traditional metallic drug-eluting stents (DES).

Summary

BVS technology is not yet ready for clinical primetime. However, there is need for improved scaffold technology and new BVS will again need to be tested against metallic DES in large-scale RCTs with long-term follow-up.
Title
Bioresorbable Scaffolds: Ready for a Rematch?
Authors
Oludamilola Akinmolayemi
Alexander Levy
Swagata Patnaik
Gregg W. Stone
Solomon W. Bienstock
Publication date
01-12-2026
Publisher
Springer US
Keyword
Thrombosis
Published in
Current Cardiology Reports / Issue 1/2026
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-025-02291-y
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Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
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Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME