DynaCT evaluation of in-stent restenosis following Wingspan stenting of intracranial stenosis.

Abstract:

OBJECTIVE AND IMPORTANCE:To describe the use of DynaCT angiographic imaging for the evaluation of Wingspan in-stent restenosis (ISR). METHODS:Two patients were treated with Wingspan stenting and percutaneous transluminal angioplasty (Patient 1 had treatment of a severe stenosis of the right middle cerebral artery and patient 2 had severe stenosis of the left intracranial internal carotid artery. Both patients developed ISR and were evaluated with high resolution DynaCT angiographic imaging. RESULTS:DynaCT demonstrated circumferential soft tissue density material distributed within the stent as the cause of the stenosis visualized with conventional angiography. CONCLUSIONS:These findings support the hypothesis that ISR is caused by neointimal proliferation, rather than vascular re-coil with stent collapse.

journal_name

J Neurointerv Surg

authors

Moskowitz SI,Kelly ME,Haynes J,Fiorella D

doi

10.1136/jnis.2009.000505

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

2-5

issue

1

eissn

1759-8478

issn

1759-8486

pii

jnis.2009.000505

journal_volume

2

pub_type

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