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Catheter exchange technique for the Wingspan stent: technical note
  1. W S Lesley,
  2. R Rangaswamy
  1. Texas A&M Health Sciences Center College of Medicine, Scott & White Clinic, Temple, Texas, USA
  1. Correspondence to Walter S Lesley, Section of NeuroInterventional Surgery, Scott & White Clinic, 2401 South 31st Street, Temple, Texas 76508, USA; wlesley{at}swmail.sw.org

Abstract

Background and purpose The only Food and Drug Administration-approved implant for managing intracranial stenosis is the Wingspan stent. Modification of the standard Wingspan stent delivery procedure has not been previously reported.

Material and methods Retrospective, single-patient, technical report.

Results Following uneventful balloon angioplasty, a symptomatic intracranial vertebral artery stenosis was inaccessible to Wingspan stent delivery using standard procedural protocol because of poor proximal guide catheter purchase. After placing a Renegade Hi-Flo microcatheter across the stenosis, the Wingspan stent was transferred to this catheter and advanced to the lesion using a Neuroform stabilizer. Unsheathing of the stent yielded uncomplicated, precise placement of the stent with a good clinical result.

Conclusion The Wingspan stent transfer technique can be used successfully in the management of intracranial stenotic disease.

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Footnotes

  • Competing interests None.

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