Late Malapposition After Bare-Metal Stent, But Not Bioresorbable Scaffold: Insights on Intraindividual Heterogeneity in Plaque and Device Response

We present a case of late acquired bare-metal stent malapposition and uncovered struts, visible at angiography and confirmed by optical frequency domain imaging. In the same patient, an everolimus-eluting biovascular scaffold in another vessel was well apposed and all struts were covered. This case highlights the potential heterogeneity in the evolution of atherosclerotic plaques and response to different devices in the same patient.