ABSTRACT
This chapter discusses the various tips and tricks to implant current generation bioresorbable scaffolds (BRSs). The delivery balloon of the Absorb scaffold is highly compliant and should not be inflated above the recommended nominal pressure in order to avoid overdilating lesion segments. This specific feature demands a need for postdilatation. Although direct implantation is a possibility in soft lesions, since inadequate lesion preparation correlates with underexpansion, predilatation is recommended for almost all lesions. The need for more aggressive pre and postdilatation to obtain optimal scaffold expansion may cause more frequent edge dissections. Due to the inherent limitations of BRSs, careful sizing before deployment is required. Sufficient lesion preparation is necessary to facilitate scaffold delivery. If difficulties arise in delivering BRSs across a lesion, the use of a more supportive wire or buddy wire technique may help. When implanting BRSs in lesions that require multiple BRSs, it is important to know the relationship between the markers and scaffold body.
