Lots of interesting abstracts and cases were submitted for TCTAP & AP VALVES 2020 Virtual. Below are accepted ones after thoroughly reviewed by our official reviewers. Don¡¯t miss the opportunity to explore your knowledge and interact with authors as well as virtual participants by sharing your opinion!

* The E-Science Station is well-optimized for PC.
We highly recommend you use a desktop computer or laptop to browse E-posters.

CASE20191114_002
IMAGING AND PHYSIOLOGIC LESION ASSESSMENT - Imaging: Intravascular
Common but Less Recognized Mechanism of In-Scaffold Re-Stenosis
Jiunn-Cherng Lin1, Hsin-I Teng1
Taichung Veterans General Hospital, Taiwan1,
[Clinical Information]
- Patient initials or identifier number:
D10130
-Relevant clinical history and physical exam:
A case of 67-year-old man who has paroxysmal atrial fibrillation underwent transcatheter ablation of pulmonary vein isolation.He has one episode of old NSTE-ACS, underwent PTCA with one BVS over LAD-M, with optimal resultHowever, he got occult chest tightness during exercise after 1.5 years. 
01 pre-BVS (2016-2).mp4
02 post-BVS (2016-2).mp4
-Relevant test results prior to catheterization:
Treadmill exercise test: positive.
- Relevant catheterization findings:
F/U CAG showed proximal segment of BVS: in-scaffold re-stenosis.
03 BVS ISR (2017-6).mp4
04 IVUS.mp4
05 OCT calcium nodule.mp4
[Interventional Management]
- Procedural step:
Guiding catheter: XB 3.5/6 guide.
Guide wire: Whisper Extrasupport.
Pre-dilatation: Trek balloon (3.0x15mm) with 12 atm pressure.
Stenting: Xience Expedition (3.5x28mm) over-lapping with BVS proximal re-stenotic segment.
Post-dilatation: NC Trek balloon (3.5x15mm) with 22 atm inflation pressure & NC Trek balloon (4.0x8mm) with 18 atm pressure.
<< Follow Up>>
Follow Angio 2 years later: patent.
Follow FFR 2 years later: Pd/Pa 0.89.
Follow RFR 2 years later: 0.90.
Follow OCT 2 years later: mild intima hyperplasia.
No MACE in this 2-year period.

06 Final CAG.mp4
06 Final IVUS.mp4
06 OCT final.mp4
- Case Summary:
Calcium nodule is one of the etiology of in-stent/in-scaffold re-stenosis (ISR).Image study is essential for BRS implantation, especially in calcified lesion.Even more than 3 years, BVS may not be resorbed completely.Calcium nodule related ISR could be safely rescued by further DES implantation. BVS overlapping with DES is acceptable.
like off