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2015, Number 5

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Gac Med Mex 2015; 151 (5)

Vertebral-subclavian bifurcation treatment. “The wedding ring technique” for a vertebral in-stent restenosis associated with stent fracture

Damas-De Los Santos F, Colombo F, Zuffi A, Cremonesi A

Language: English
References: 18
Page: 655-659
PDF size: 726.08 Kb.


ABSTRACT

This report describes a solution for a restenosis and for the fracture of a stent in the vertebral artery in a patient suffering from vertebrobasilar symptoms. Angiography demonstrates restenosis of a vertebral stent as well as its fracture and migration into the subclavian artery. This complication was managed percutaneously by passing a guide wire through the fractured stent. Pre-dilatation and kissing balloon techniques were applied in both the vertebral and subclavian arteries to modify the stent’s dimensions and shape it into the form of a “ring.” Postprocedural angiography demonstrated an excellent final result with the assistance of StentBoost visualization. Control angiography at six months also utilized StentBoost imaging and confirmed the patency of the bifurcation and that the stent was not displaced.


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