Optical coherence tomography of the intracranial vasculature and Wingspan stent in a patient.

Abstract:

:A 67-year-old man with medically refractory vertebrobasilar insufficiency and short segment occlusions of the intracranial vertebral arteries was treated with angioplasty and stent placement. Fifteen hours after the procedure the patient developed symptoms of posterior fossa ischemia and repeat angiography showed thrombus formation within the stent which was treated with thrombolytic and aggressive antiplatelet therapy. Angiography revealed lysis of the clot, but concerns regarding the mechanism of the thrombotic phenomenon prompted frequency-domain optical coherence tomography (FDOCT) assessment. FDOCT provided excellent visualization of the stent and vessel wall interactions, as well as excluding residual flow-limiting stenosis, obviating the need for further intervention. The potential utility of FDOCT in the evaluation of intracranial atherosclerotic disease and additional intracranial applications are discussed.

journal_name

J Neurointerv Surg

authors

Given CA 2nd,Ramsey CN 3rd,Attizzani GF,Jones MR,Brooks WH,Bezerra HG,Costa MA

doi

10.1136/neurintsurg-2014-011114.rep

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

e22

issue

6

eissn

1759-8478

issn

1759-8486

pii

neurintsurg-2014-011114.rep

journal_volume

7

pub_type

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