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    The content on this page is not current guidance and is only for the purposes of the consultation process.

    Validity and generalisability of the studies

    • The design, composition and features of different types of BVS vary significantly and may have an impact on clinical outcomes. They vary in the degradable material used [polymer such as poly-l-lactic acid-PLLA or magnesium alloy], thickness, eluting drugs used [everolimus, sirolimus, novolimus], and reabsorption time [within 1-4 years after implantation].

    • Most of the studies included in systematic reviews were assessing the first-generation Absorb BVS. There is very little evidence on second generation absorb BVS or new generation scaffolds.

    • Most of the RCTs included in the systematic reviews and HTA compared Absorb BVS with DES (CoCr-EES). Only 1 RCT compared MgBRS with DES-SES (Sabate 2019).

    • The RCTs included in the systematic reviews had a variety of patient characteristics, medication and follow-up.

    • Techniques of implantation are not standardised and evolved over time.