Coronary disease & ACS

Vascular response following implantation of the third-generation drug-eluting resorbable coronary magnesium scaffold: an intravascular imaging analysis of the BIOMAG-I first-in-human study

EuroInterventionPublished Imaging substudy of the BIOMAG-I first-in-human study

Authors' conclusion

This imaging substudy revealed that, at 12-month follow-up, virtually all struts of the DREAMS 3G scaffold became invisible, without evident malapposition. The vascular healing response to DREAMS 3G implantation also appeared favourable up to 12 months, which is indicated by advanced strut degradation and spontaneous regressing PNT between 6 and 12 months.

Study context

Population
Patients treated with DREAMS 3G in BIOMAG-I with available serial optical coherence tomography (OCT) and intravascular ultrasound (IVUS) dataof 116 enrolled
Participants
56 patients
Primary endpoint
Vascular healing by OCT and IVUS: strut visibility, vessel and scaffold areas, neointimal growth patterns
Follow-up
Up to 12 months
Methodological detailsserial OCT and IVUS, frame-based analysis
  • Serial OCT and IVUS
  • Frame-based analysis

Primary result

As reported in the abstract

Struts invisible by OCT

99.0%

Minimum lumen area, post-PCI to 6 months

6.88 mm² to 4.75 mm²

p<0.0001

Protruding neointimal tissue (PNT) observed at 12 months

89.3%

PNT area decrease from 6 to 12 months

47.4%

Original publication

Vascular response following implantation of the third-generation drug-eluting resorbable coronary magnesium scaffold: an intravascular imaging analysis of the BIOMAG-I first-in-human study. EuroIntervention. Published 16 September 2024. doi:10.4244/eij-d-24-00055

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